Shane Birju Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104154 Issued in CA

Practice address

2649 E Chapman Ave
Orange, CA 92869-3239

Phone

(714) 771-2600

Fax

(714) 771-0901

NPI assigned

Jul 24, 2019

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shane Patel, DDS, Inc

  • General Practice Dentistry
  • Orange, CA
  • NPI 1326707704
  NPD Authorized official
• Millot & Millot Dental Corp

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1831645316
  NPD (past)
• Tsibel Dental Practice Inc.

  dba Dental Specialist of Riverside

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1871355081
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1629622022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693239",
            "telephone_number": "714-771-2600",
            "fax_number": "714-771-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693239",
            "telephone_number": "714-771-2600",
            "fax_number": "714-771-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHANE",
        "middle_name": "BIRJU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roshan Manhar Patel, M.D.
• Roshni Patel
• Ruchi Patel
• Sailesh Patel, PHARMD, FASCP
• Shaival M Patel, MD
• Varda Patel
• Veeshal H Patel, M.D.
• Vikas D Patel, D.D.S
• Vikkie Patel, FNP-BC
• Bhavana Pathak, M.D.

• Dentist in Orange, CA
• Providers in Orange, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.