Active NPI
Niti Patel
- Periodontics
- Lexington, KY
National Provider Identifier
1568036200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10581
- Practice address
- 3264 Sebastian LN
Lexington, KY 40513-1239 - Phone
- (859) 685-5423
- NPI assigned
- May 17, 2021
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 10581 | KY | Primary |
Addresses
Primary practice location
3264 Sebastian LN
Lexington, KY 40513-1239
Mailing address
3264 Sebastian LN
Lexington, KY 40513-1239
Phone (859) 685-5423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210802003115 | KY | Order and Referring Only - Dentist | 4183028954 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10581 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621209600000",
"number": "1568036200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 SEBASTIAN LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131239",
"telephone_number": "859-685-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 SEBASTIAN LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131239",
"telephone_number": "859-685-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NITI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2021-05-17",
"certification_date": "2021-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "KY",
"license": "10581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.