Individual provider Active NPI

Maitry Darpan Patel, DMD

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1538659172
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23319 Issued in FL
Practice address
11017 N Dale Mabry Hwy Ste a
Tampa, FL 33618-3873
Phone
(813) 968-7228
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23319 FL
General Practice Dentistry 1223G0001X DN23319 FL Primary

Addresses

Primary practice location

11017 N Dale Mabry Hwy Ste a
Tampa, FL 33618-3873

Mailing address

11017 N Dale Mabry Hwy Ste a
Tampa, FL 33618-3873
Phone (813) 968-7228

Other practice location 1

2641 Windguard Cir Ste 101
Wesley Chapel, FL 33544-7357
Phone (813) 907-3333

Other names 1

  • Dr. Maitry Mahendra Patel Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN23319FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Dental LLC General Practice CurrentSince Feb 8, 2023 Accepting new patients
B K Parasher DDS PA General Practice PastSince Aug 28, 2022 Accepting new patients

Locations

11017 N Dale Mabry Hwy
Ste A
Tampa, FL 33618
Phone (813) 968-7228

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1538659172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 N DALE MABRY HWY STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183873",
            "telephone_number": "813-968-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11017 N DALE MABRY HWY STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336183873",
            "telephone_number": "813-968-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2641 Windguard Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335447357",
            "country_code": "US",
            "telephone_number": "813-907-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAITRY",
        "middle_name": "DARPAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23319",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAITRY",
            "last_name": "PATEL",
            "middle_name": "MAHENDRA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.