Active NPI
Devanshi Patel, D.D.S.
- General Practice Dentistry
- Fort Payne, AL
National Provider Identifier
1538560859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6143
- Practice address
- 110 23Rd St NW
Fort Payne, AL 35967-3671 - Phone
- (256) 996-3602
- NPI assigned
- Sep 5, 2014
- Last updated
- Aug 5, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6143 | AL | Primary |
Addresses
Primary practice location
110 23Rd St NW
Fort Payne, AL 35967-3671
Mailing address
1416 Glenn Blvd SW
Fort Payne, AL 35968-3520
Phone (256) 996-3602
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6143 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1538560859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 GLENN BLVD SW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683520",
"telephone_number": "256-996-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 23RD ST NW",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359673671",
"telephone_number": "256-996-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DEVANSHI",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.