Individual provider Active NPI

Jyodi Kiran Patel, DDS

  • Dentist
  • North Ridgeville, OH
National Provider Identifier
1619669504
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027172 Issued in OH
Practice address
34282 Center Ridge Rd
North Ridgeville, OH 44039-3222
Phone
(440) 307-1107
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027172 OH Primary

Addresses

Primary practice location

34282 Center Ridge Rd
North Ridgeville, OH 44039-3222

Mailing address

637 Briggs St
Columbus, OH 43206-1332
Phone (330) 280-3063

Other practice location 1

12821 State Rd
North Royalton, OH 44133-3911
Phone (234) 400-6567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.027172OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1619669504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 BRIGGS ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432061332",
            "telephone_number": "330-280-3063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34282 CENTER RIDGE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393222",
            "telephone_number": "440-307-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12821 State Rd",
            "address_purpose": "LOCATION",
            "city": "North Royalton",
            "state": "OH",
            "postal_code": "441333911",
            "country_code": "US",
            "telephone_number": "234-400-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JYODI",
        "middle_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.