Patel Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053048 Issued in NY

Legal business name

PATEL FAMILY DENTAL

Practice address

8420 Oswego Rd
Liverpool, NY 13090-1004

Phone

(315) 652-0777

Fax

(315) 652-0779

NPI assigned

Jan 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Shreyas Indravadan Patel, DDSNPI 1952415481

Title

Ceo/Owner

Phone

(315) 652-0777

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shreyas Indravadan Patel, DDS

  • Dentist
  • Liverpool, NY
  • NPI 1952415481
  NPD (past) Authorized official

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1497177745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901004",
            "telephone_number": "315-652-0777",
            "fax_number": "315-652-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901004",
            "telephone_number": "315-652-0777",
            "fax_number": "315-652-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHREYAS",
        "authorized_official_middle_name": "INDRAVADAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "315-652-0777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Mary Parrow, CASACT
• Amanda Parry
• Elizabeth T Passarello, L.P.N.
• Nicole Pastore, PA
• Tony L Pate, RN
• Pooja Patel
• Shreyas Indravadan Patel, DDS
• Chris K Pateras, DDS
• Daniel Dino Patriarco, D.C.
• Eileen Rae Patterson, RN

• General Practice Dentistry in Liverpool, NY
• Providers in Liverpool, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.