Active NPI
Nayan Raj Patel, DDS
- Dentist
- Raleigh, NC
National Provider Identifier
1629564539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11168
- Practice address
- 3693 New Bern Ave
Raleigh, NC 27610-1232 - Phone
- (919) 231-3251
- NPI assigned
- Jul 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11168 | NC | Primary |
Addresses
Primary practice location
3693 New Bern Ave
Raleigh, NC 27610-1232
Mailing address
3116 Weddington Rd Ste 900
Matthews, NC 28105-9407
Phone (252) 452-1717
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11168 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1629564539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 WEDDINGTON RD STE 900",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281059407",
"telephone_number": "252-452-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3693 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101232",
"telephone_number": "919-231-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NAYAN",
"middle_name": "RAJ",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-03",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.