Individual provider Active NPI

Priya Bhogilal Patel, D.M.D.

  • General Practice Dentistry
  • Leechburg, PA
National Provider Identifier
1457694473
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040102 Issued in PA
Practice address
243 Hyde Park Rd
Leechburg, PA 15656-9670
Phone
(724) 845-2400
Fax
(724) 845-2412
NPI assigned
Mar 27, 2013
Last updated
Apr 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040102 PA Primary

Addresses

Primary practice location

243 Hyde Park Rd
Leechburg, PA 15656-9670

Mailing address

243 Hyde Park Rd
Leechburg, PA 15656-9670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160318000559 PA Order and Referring Only - DentistPractitioner - Dentist 1557668589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040102PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Annette Merlino DMD, Inc Past Accepting new patients

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1457694473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 HYDE PARK RD",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156569670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 HYDE PARK RD",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156569670",
            "telephone_number": "724-845-2400",
            "fax_number": "724-845-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRIYA",
        "middle_name": "BHOGILAL",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leechburg, PA

Sources for this page

Verify at the official NPI Registry.