Individual provider Active NPI

Ekta Patel, DMD

  • General Practice Dentistry
  • Prairie Village, KS
National Provider Identifier
1548822117
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61614 Issued in KS
Practice address
7501 Mission Rd Ste 102
Prairie Village, KS 66208-4217
Phone
(913) 601-5016
NPI assigned
Jul 3, 2019
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61614 KS Primary

Addresses

Primary practice location

7501 Mission Rd Ste 102
Prairie Village, KS 66208-4217

Mailing address

7501 Mission Rd Ste 102
Prairie Village, KS 66208-4217

Other practice location 1

15281 W 119th St
Olathe, KS 66062-5290
Phone (913) 353-2259

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ekta.patel@pacden.com
Direct Messaging Address ekta.patel@pacden.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190806003497 KS Order and Referring Only - DentistPractitioner - Other (Physician)Practitioner - Dentist 2860729357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Modern Dentistry, PA Past Accepting new patients
Olathe Dental Group, PA General Practice Past Accepting new patients

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1548822117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 MISSION RD STE 102",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 MISSION RD STE 102",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084217",
            "telephone_number": "913-601-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15281 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Olathe",
            "state": "KS",
            "postal_code": "660625290",
            "country_code": "US",
            "telephone_number": "913-353-2259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "EKTA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekta.patel@pacden.com",
            "affiliation": "N",
            "address_1": "7501 Mission Rd Ste 102",
            "city": "Prairie Village",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662084217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekta.patel@pacden.com",
            "affiliation": "N",
            "address_1": "15281 W 119th St",
            "city": "Olathe",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660625290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.