Individual provider Active NPI

Sandeep Vinubhai Patel, DDS

  • Dentist
  • Lebanon, PA
National Provider Identifier
1508065806
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039923 Issued in PA
Practice address
101 S 9TH St
Lebanon, PA 17042-5108
Phone
(717) 450-7015
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23307 TX
Dentist 122300000X DS039923 PA Primary

Addresses

Primary practice location

101 S 9TH St
Lebanon, PA 17042-5108

Mailing address

304 N Water St
Lancaster, PA 17603-3374
Phone (717) 735-6808

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
I20170303000197 PA Practitioner - Dentist 8527368414 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS039923PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Union Community Care CurrentSince Jan 8, 2017 Accepting new patients
Union Community Care CurrentSince Jan 8, 2017 Accepting new patients

Locations

240 Main St
Ste A
Denver, PA 17517

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372

101 S 9th St
Lebanon, PA 17042
Phone (717) 450-7015

584 Springville Rd
New Holland, PA 17557
Phone (717) 354-4711

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

Interoperability endpoints

  • Direct secure messaging: sandeep.patel.1@14261.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1508065806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N WATER ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033374",
            "telephone_number": "717-735-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S 9TH ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425108",
            "telephone_number": "717-450-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANDEEP",
        "middle_name": "VINUBHAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23307",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.