Individual provider Active NPI

Medha Patel, DDS

  • General Practice Dentistry
  • Doylestown, PA
National Provider Identifier
1487038857
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS040512 Issued in PA
Practice address
1 Center St
Doylestown, PA 18901-3930
Phone
(215) 345-8702
NPI assigned
Jul 16, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 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 DS040512 PA Primary

Addresses

Primary practice location

1 Center St
Doylestown, PA 18901-3930

Mailing address

1141 Snyder Rd Apt H15
Lansdale, PA 19446-7306
Phone (267) 818-0696

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
I20160818001427 PA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4981999729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS040512PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen C Cunning DDS PC Past Accepting new patients
Aurora Dental, PC General Practice Past Accepting new patients

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, 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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1487038857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 SNYDER RD APT H15",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194467306",
            "telephone_number": "267-818-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTER ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013930",
            "telephone_number": "215-345-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEDHA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.