Individual provider Active NPI

Dhara B Patel, D.D.S.

  • Pediatric Dentistry
  • Littleton, CO
National Provider Identifier
1508209925
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DEN.00204586 Issued in CO
Practice address
8906 W Bowles Ave Ste 200
Littleton, CO 80123-3400
Phone
(303) 973-4424
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.029487 IL
Pediatric Dentistry 1223P0221X 021.002687 IL
Pediatric Dentistry 1223P0221X DEN.00204586 CO Primary

Addresses

Primary practice location

8906 W Bowles Ave Ste 200
Littleton, CO 80123-3400

Mailing address

1550 Platte St Apt 318
Denver, CO 80202-6130
Phone (630) 728-2415

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 Jan 24, 2019 through Jan 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.029487ILMDGeneral Practice Dentistry
DEN.00204586COMDPediatric Dentist
021.002687ILMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Kids Dental Pediatric Dentistry CurrentSince Jun 16, 2024 Accepting new patients
Katherine Hattel Harmon, DDS PC General Practice PastSince Aug 1, 2021 Accepting new patients
Professional Dental Alliance of Illinois Ortho PLLC Past Accepting new patients
Neo Dental Centers Loveland General Practice PastSince Aug 1, 2021 Accepting new patients

Locations

8906 W Bowles Ave
Ste 200
Littleton, CO 80123
Phone (303) 973-4424

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1508209925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 PLATTE ST APT 318",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802026130",
            "telephone_number": "630-728-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 W BOWLES AVE STE 200",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233400",
            "telephone_number": "303-973-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029487",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021.002687",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00204586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.