Active NPI
Dhagash B Patel, D.M.D, M.P.H.
- Dentist
- Keene, NH
National Provider Identifier
1598053126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1855892
- Practice address
- 333 Winchester St
Keene, NH 03431-3940 - Phone
- (603) 522-7821
- NPI assigned
- Jul 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 04936 | NH | |
| Dentist | 122300000X | 010682 | CT | |
| Dentist | 122300000X | DS038961 | PA | |
| Dentist | 122300000X | DN1855892 | MA | Primary |
Addresses
Primary practice location
333 Winchester St
Keene, NH 03431-3940
Mailing address
742 Daniel Shays Hwy Apt B1
Athol, MA 01331-9330
Phone (617) 416-9512
Other practice location 1
78 Brickyard Rd
Athol, MA 01331-2051
Phone (978) 581-1970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20161123001218 | MA | Order and Referring Only - Dentist | 8820377427 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010682 | CT | MD | Dentist |
| DN1855892 | MA | MD | Dentist |
| 04936 | NH | MD | Dentist |
| DS038961 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1598053126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "742 DANIEL SHAYS HWY APT B1",
"city": "ATHOL",
"state": "MA",
"postal_code": "013319330",
"telephone_number": "617-416-9512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 WINCHESTER ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313940",
"telephone_number": "603-522-7821"
}
],
"practiceLocations": [
{
"address_1": "78 Brickyard Rd",
"address_purpose": "LOCATION",
"city": "Athol",
"state": "MA",
"postal_code": "013312051",
"country_code": "US",
"telephone_number": "978-581-1970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "DHAGASH",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.M.D, M.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-18",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NH",
"license": "04936",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "010682",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS038961",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1855892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.