Dhrutiben Khodabhai Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D15365 Issued in MN

Practice address

12628 Fremont Ave
Zimmerman, MN 55398-9735

Phone

(833) 217-5959

NPI assigned

Jul 18, 2025

Last updated

Jul 18, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

State Un of Ny, Buffalo School of Dental Medicine, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• PL Dental SC

  • Dental Clinic/Center
  • Zimmerman, MN
  • NPI 1225786411
  Medicare reassignment NPD
• PL Dental SC

  • Dental Clinic/Center
  • Coon Rapids, MN
  • NPI 1952140691
  NPD (past)

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1457243719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WIND RIDGE RD",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600105316",
            "telephone_number": "929-525-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12628 FREMONT AVE",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553989735",
            "telephone_number": "833-217-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHRUTIBEN",
        "middle_name": "KHODABHAI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwoods Home Care LLC
• Alicia Marie Olson
• Matt Onstad
• Open Harbors Inc.
• P&P Investors, Inc. (Associates in Psychology and Counseling)
• Kara Josephine Person
• Pine Ridge Chiropractic
• Pine Ridge Dental PA
• PL Dental SC
• Nicole Renee Prosser, PA-C

• Dentist in Zimmerman, MN
• Providers in Zimmerman, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.