Avinash Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12310 Issued in CT

Practice address

723 Foxon Rd
East Haven, CT 06513

Phone

(203) 466-7400

NPI assigned

Jul 25, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Dental of Connecticut, PC

  • General Practice Dentistry
  • Stratford, CT
  • NPI 1407182033
  NPD (past)
• Hamden Plaza Family Dental, PC

  dba Dr. Dental of East Haven PC

  • Dental Clinic/Center
  • East Haven, CT
  • NPI 1487377206
  NPD (past)

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1457838120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GATE HOUSE LN",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 FOXON RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "203-466-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Canal St",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069026094",
            "country_code": "US",
            "telephone_number": "203-490-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AVINASH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12310",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT DEPARTMENT OF PUBLIC HEALTH DENTAL LICENSE",
            "identifier": "12310",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "DN23612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliza Outtrim, APRN
• Tara Paine
• Corrine Panagos
• Gabrielle Maria Panzo, LPC
• Jessica Parker
• Jessica Patel
• Abigail Payne
• Peaceful Path Therapy LLC
• Patricia Pemberton
• Anthony Perez, PT

• Dentist in East Haven, CT
• Providers in East Haven, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.