Individual provider Active NPI

Mayoor Patel, DDS, MS

  • Orofacial Pain Dentistry
  • Atlanta, GA
National Provider Identifier
1497820963
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
11349 Issued in GA
Practice address
200 Ashford Ctr N
Suite 195
Atlanta, GA 30338-4157
Phone
(678) 889-6076
Fax
(678) 899-6075
NPI assigned
Nov 21, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11349 GA
Orofacial Pain Dentistry 1223X2210X 11349 GA Primary

Addresses

Primary practice location

200 Ashford Ctr N
Suite 195
Atlanta, GA 30338-4157

Mailing address

200 Ashford Ctr N
Suite 195
Atlanta, GA 30338-2668
Phone (678) 889-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 25, 2019 through Mar 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1497820963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ASHFORD CTR N",
            "address_2": "SUITE 195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303382668",
            "telephone_number": "678-889-6076",
            "fax_number": "678-899-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ASHFORD CTR N",
            "address_2": "SUITE 195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303384157",
            "telephone_number": "678-889-6076",
            "fax_number": "678-899-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAYOOR",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "11349",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "GA",
            "license": "11349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.