Individual provider Active NPI

Dhagash B Patel, D.M.D, M.P.H.

  • Dentist
  • Keene, NH
National Provider Identifier
1598053126
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1855892 Issued in MA
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

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123001218 MA Order and Referring Only - DentistPractitioner - Dentist 8820377427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010682CTMDDentist
DN1855892MAMDDentist
04936NHMDDentist
DS038961PAMDDentist

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

Verify at the official NPI Registry.