Shaivalkumar S. Patel, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

7117 Issued in WI

Practice address

2268 N Shore Dr
Rhinelander, WI 54501-8888

Phone

(715) 420-1400

NPI assigned

May 22, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S & a Dental Partners LLC

  • General Practice Dentistry
  • Niles, IL
  • NPI 1497609333
  NPD Authorized official
• Shaivalkumar Patel DDS P.C

  • Dental Clinic/Center
  • Niles, IL
  • NPI 1124663737
  NPD Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1619237708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 N SHORE DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545018888",
            "telephone_number": "715-420-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHAIVALKUMAR",
        "middle_name": "S.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "WI",
            "license": "7117",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4255",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R. Padgett, M.D.
• Judith S Pagano, MD
• James Panagas, MD
• Jennifer S Pantely, CRNA
• Dawn Patrice Parker-Korinek, OTR/L
• Jonathan Stewart Paton, CRNA
• Mary Margaret Patterson, MS, LCSW
• Laurie Ellen Paugel, RN
• Lauren Nicole Pavlik, PHARMD
• Heather A Pelock Hjelle, APNP BC

• Dentist in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.