Individual provider Active NPI

Yesha Kirankumar Patel, DMD

  • Dentist
  • Haverhill, MA
National Provider Identifier
1518629211
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1859222 Issued in MA
Practice address
400 Lowell Ave Ste 4
Haverhill, MA 01832-3661
Phone
(978) 914-6333
NPI assigned
Oct 10, 2021
Last updated
Oct 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859222 MA Primary

Addresses

Primary practice location

400 Lowell Ave Ste 4
Haverhill, MA 01832-3661

Mailing address

1 Tech Valley Dr Apt 3316
Westford, MA 01886-2943
Phone (978) 569-9078

Other practice location 1

40 Jackson St
Methuen, MA 01844-5000
Phone (978) 874-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1859222MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Dental of Haverhill LLC CurrentSince Oct 17, 2021 Accepting new patients

Locations

400 Lowell Ave
Ste 4
Haverhill, MA 01832
Phone (978) 914-6333

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1518629211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TECH VALLEY DR APT 3316",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018862943",
            "telephone_number": "978-569-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOWELL AVE STE 4",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018323661",
            "telephone_number": "978-914-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018445000",
            "country_code": "US",
            "telephone_number": "978-874-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "YESHA",
        "middle_name": "KIRANKUMAR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.