Shina Patel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28111 Issued in FL

Practice address

2501 S Hwy 27
Clermont, FL 34711-7008

Phone

(352) 404-5754

NPI assigned

May 2, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yarelis Cartagena DMD Holdings PLLC

  • General Practice Dentistry
  • Clermont, FL
  • NPI 1659911899
  NPD
• Yarelis Cartagena DMD III

  • General Practice Dentistry
  • Clermont, FL
  • NPI 1881183069
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1437848900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 DEMOCRACY DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446438",
            "telephone_number": "863-594-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S HWY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117008",
            "telephone_number": "352-404-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "28111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona Pragnesh Patel, MD
• Poojaben Patel
• Ravina Patel, DPT
• Saifali Manoj Patel, RPH
• Sailendra Jitendrakumar Patel, DPT
• Stuti Ashesh Patel, MD
• Viral Vadilal Patel, MD
• Janki Pathak
• Pathology Professional Consultants, LLC
• Pathways to Freedom Counseling Center

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.