Active NPI
SRP Dental Care, P.C.
- Dentist
- Bronx, NY
National Provider Identifier
1457525271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SRP DENTAL CARE, P.C.
- Practice address
- 48 E Kingsbridge Rd
Bronx, NY 10468-7514 - Phone
- (718) 933-9603
- Fax
- (718) 866-0337
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Surendra R Patel, DDS
- Title
- Owner/President
- Phone
- (718) 933-9603
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
48 E Kingsbridge Rd
Bronx, NY 10468-7514
Mailing address
250 W Clarkstown Rd
New City, NY 10956-7221
Phone (718) 933-9603
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN0013148 | Other | FL | FLORIDA LIC. |
| 033320 | Other | NY | NEW YORK LIC. # |
| 52177 | Other | CA | CALIFORNIA LIC. |
| 00291350 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Bronx, NY
- NPI 1013907070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1457525271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W CLARKSTOWN RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109567221",
"telephone_number": "718-933-9603",
"fax_number": "718-866-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 E KINGSBRIDGE RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104687514",
"telephone_number": "718-933-9603",
"fax_number": "718-866-0337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRP DENTAL CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "SURENDRA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "718-933-9603",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LIC.",
"identifier": "DN0013148",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK LIC. #",
"identifier": "033320",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LIC.",
"identifier": "52177",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00291350",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.