Subhashchandra Ambalal Patel, DDS.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8395 Issued in MN

Practice address

2716 Upper Afton Road E.
St. Paul, MN 55119-0449

Phone

(651) 739-5110

Fax

(651) 739-1873

NPI assigned

Jul 24, 2006

Last updated

Oct 24, 2018By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1639191463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 UPPER AFTON ROAD E.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551190449",
            "telephone_number": "651-739-5110",
            "fax_number": "651-739-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 UPPER AFTON ROAD E.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551190449",
            "telephone_number": "651-739-5110",
            "fax_number": "651-739-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUBHASHCHANDRA",
        "middle_name": "AMBALAL",
        "name_prefix": "Dr.",
        "credential": "DDS.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8395",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983217300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pooja Patel, DPM
• Radhika Ramesh Patel, PHARM.D.
• Rita B Patel, M.D., M.P.H.
• Sarang Patel
• Sheetal R Patel, MD
• Maria J Patera
• Marisa Patet
• Sarah Ruth Lawson Patet, PA-C
• Reena Pathak, PSYD LP
• Pathfinder Counseling Services, Inc.

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.