Active NPI
Dharti Natavarbhai Patel, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- D9085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0509071 | NY | MD | Dentist |
| D9085 | AZ | MD | Oral and Maxillofacial Surgery (Dentist) |
| 19-1790 | AZ | MD | Naturopath |
| 9085 | AZ | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Orofacial Group, Inc. | Dentist | Current | Accepting new patients |
| Southwest Orofacial Group, Inc. | Dentist | Current | Accepting new patients |
| Southwest Orofacial Group, Inc. | Dentist | Current | 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
- 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
- NPI 1487733572
-
- Oral and Maxillofacial Surgery (Dentist)
- Phoenix, AZ
- NPI 1245620459
-
- Oral and Maxillofacial Surgery (Dentist)
- Mesa, AZ
- NPI 1619707049
-
- Dental Clinic/Center
- Avondale, AZ
- NPI 1114240942
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.