Active NPI
Mainak Patel, DMD
- Dentist
- Winter Park, FL
National Provider Identifier
1447570890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN19006
- Practice address
- 6504 University Blvd
Winter Park, FL 32792-7405 - Phone
- (407) 678-1400
- NPI assigned
- Jun 8, 2010
- Last updated
- Jul 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN19006 | FL | Primary |
Addresses
Primary practice location
6504 University Blvd
Winter Park, FL 32792-7405
Mailing address
285 Uptown Blvd Apt 253
Altamonte Springs, FL 32701-3496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19006 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainak Patel, DMD PA | Current | Accepting new patients |
Locations
6504 University Blvd
Winter Park, FL 32792
Phone (407) 678-1400
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1447570890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 UPTOWN BLVD APT 253",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327013496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6504 UNIVERSITY BLVD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327927405",
"telephone_number": "407-678-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MAINAK",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN19006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.