Tarak Champaklal Patel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14212 Issued in FL

Practice address

2262 Dunn Avenue
Suite 1
Jacksonville, FL 32218

Phone

(904) 757-7940

Fax

(904) 757-7942

NPI assigned

Oct 12, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lxmi, Inc.

  dba Tarak C. Patel, DDS

  • Dentist
  • Jacksonville, FL
  • NPI 1144538075
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639269764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9969 CHELSEA LAKE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563482",
            "telephone_number": "904-464-0300",
            "fax_number": "904-757-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2262 DUNN AVENUE",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-757-7940",
            "fax_number": "904-757-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TARAK",
        "middle_name": "CHAMPAKLAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Patel, DO
• Sridhiben M Patel
• Sukeshi K Patel, M.D.
• Swapnilkumar P Patel, DPM
• Tanvi Yogeshkumar Patel, DMD
• Tejal Anilkumar Patel
• Tejaskumar M Patel
• Trishna Y Patel, MD
• Trupti Patel, RDH
• Tulsie Narendra Patel

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.