NPIMap

Organization Active NPI

Patel Dental Group of Upper Valley

  • General Practice Dentistry
  • Lebanon, NH
National Provider Identifier
1548712151
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03782 Issued in NH
Legal business name
PATEL DENTAL GROUP OF UPPER VALLEY
Practice address
11 Eldridge St
Suite #300
Lebanon, NH 03766-1022
Phone
(603) 678-4700
NPI assigned
Oct 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2016

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

Authorized official

Name
Dr. Alpa J. Patel, DMD
Title
Dentist
Phone
(603) 678-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 03781 NH
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 03782 NH Primary

Addresses

Primary practice location

11 Eldridge St
Suite #300
Lebanon, NH 03766-1022

Mailing address

11 Eldridge St
Suite #300
Lebanon, NH 03766-1022
Phone (603) 678-4700

National Provider Directory

National Provider Directory

Locations

11 Eldridge St
Ste 300
Lebanon, NH 03766
Phone (603) 678-4700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477785600000",
    "number": "1548712151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ELDRIDGE ST",
            "address_2": "SUITE #300",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661022",
            "telephone_number": "603-678-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ELDRIDGE ST",
            "address_2": "SUITE #300",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661022",
            "telephone_number": "603-678-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL DENTAL GROUP OF UPPER VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-678-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03781",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.