Jigisha Patel DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JIGISHA PATEL DDS, PC

Practice address

6128 Prestley Mill Rd
Suite E
Douglasville, GA 30134

Phone

(770) 949-0434

Fax

(770) 949-0886

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jigisha K Patel, DDS

Title

Owner of the Practice

Phone

(770) 949-0434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619189479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 PRESTLEY MILL RD",
            "address_2": "SUITE E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-949-0434",
            "fax_number": "770-949-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 PRESTLEY MILL RD",
            "address_2": "SUITE E",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "770-949-0434",
            "fax_number": "770-949-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIGISHA PATEL DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGISHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER OF THE PRACTICE",
        "authorized_official_telephone_number": "770-949-0434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.