Individual provider Active NPI

Mitulkumar Patel, DDS, MS

  • Periodontics
  • Henrico, VA
National Provider Identifier
1447790282
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
0401417188 Issued in VA
Practice address
8530 Mayland Dr
Henrico, VA 23294-4700
Phone
(804) 270-3131
Fax
(804) 270-2363
NPI assigned
Feb 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 0401417188 VA Primary

Addresses

Primary practice location

8530 Mayland Dr
Henrico, VA 23294-4700

Mailing address

8530 Mayland Dr
Henrico, VA 23294-4700
Phone (804) 270-3131

Other practice location 1

10320 Memory Ln Ste A
Chesterfield, VA 23832-8832
Phone (804) 748-9553

Other practice location 2

905 Rio East Ct Ste B
Charlottesville, VA 22901-8040
Phone (434) 977-4592

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0401417188VAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambe Perio, PLLC Periodontics CurrentSince Mar 28, 2021 Accepting new patients
Aum Perio, PLLC Periodontics Current Accepting new patients
Patel Perio, PLLC Periodontics CurrentSince Nov 29, 2020 Accepting new patients

Locations

5921 Harbour Ln
Ste 200
Midlothian, VA 23112
Phone (804) 739-5490

8530 Mayland Dr
Richmond, VA 23294
Phone (804) 270-3131

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1447790282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 MAYLAND DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944700",
            "telephone_number": "804-270-3131",
            "fax_number": "804-270-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 MAYLAND DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232944700",
            "telephone_number": "804-270-3131",
            "fax_number": "804-270-2363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10320 Memory Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238328832",
            "country_code": "US",
            "telephone_number": "804-748-9553",
            "fax_number": "804-748-0460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Rio East Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229018040",
            "country_code": "US",
            "telephone_number": "434-977-4592",
            "fax_number": "434-977-0675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITULKUMAR",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "0401417188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.