Individual provider Active NPI

Dharti Natavarbhai Patel, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
National Provider Identifier
1497867535
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D9085 Issued in AZ
Practice address
4350 E Ray Rd Ste 103
Phoenix, AZ 85044-4704
Phone
(602) 992-1486
Fax
(602) 992-6604
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0509071 NY
Oral Medicine Dentistry 125Q00000X 9085 AZ
Orofacial Pain Dentistry 1223X2210X 9085 AZ
Dentist 122300000X 9085 AZ
Orofacial Pain Dentistry 1223X2210X 0509071 NY
Naturopath 175F00000X 19-1790 AZ
Oral Medicine Dentistry 125Q00000X 0509071 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D9085 AZ Primary

Addresses

Primary practice location

4350 E Ray Rd Ste 103
Phoenix, AZ 85044-4704

Mailing address

10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243
Phone (602) 992-1486

Other practice location 1

10214 N Tatum Blvd Ste A1100
Phoenix, AZ 85028-4243
Phone (602) 992-1486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20161018000122 AZ Practitioner - Oral Surgery 5597053918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Orofacial Group IncGroup PAC ID 4981786308, 4 clinicians

Practice addresses (Care Compare)

4350 E Ray Rd
Suite 103
Phoenix, AZ 85044-4704
Phone (602) 992-1486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0509071NYMDDentist
D9085AZMDOral and Maxillofacial Surgery (Dentist)
19-1790AZMDNaturopath
9085AZMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Orofacial Group, Inc. Dentist CurrentSince Aug 28, 2016 Accepting new patients
Southwest Orofacial Group, Inc. Dentist Current Accepting new patients
Southwest Orofacial Group, Inc. Dentist CurrentSince Aug 28, 2016 Accepting new patients
New Concept Dental Past Accepting new patients

Locations

20100 N 51st Ave
Ste F650
Glendale, AZ 85308
Phone (602) 992-1486

20470 N Lake Pleasant Rd
Ste 110
Peoria, AZ 85382
Phone (602) 992-1486

14861 N Cave Creek Rd
Phoenix, AZ 85032
Phone (602) 494-1548

4350 E Ray Rd
Ste 103
Phoenix, AZ 85044
Phone (602) 992-1486

10214 N Tatum Blvd
Ste A1100
Phoenix, AZ 85028
Phone (602) 992-1486

2034 E Southern Ave
Ste E
Tempe, AZ 85282
Phone (480) 777-0077

Interoperability endpoints

  • Direct secure messaging: southwestorofacialgroup.dhartipatel@141723.advancedmd-direct.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1497867535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 N TATUM BLVD STE A1100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284243",
            "telephone_number": "602-992-1486",
            "fax_number": "602-992-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E RAY RD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444704",
            "telephone_number": "602-992-1486",
            "fax_number": "602-992-6604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10214 N Tatum Blvd Ste A1100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850284243",
            "country_code": "US",
            "telephone_number": "602-992-1486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARTI",
        "middle_name": "NATAVARBHAI",
        "name_prefix": "Miss",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0509071",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "AZ",
            "license": "9085",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "AZ",
            "license": "9085",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "9085",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "NY",
            "license": "0509071",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "19-1790",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "NY",
            "license": "0509071",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "D9085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.