Individual provider Active NPI

Dipeshkumar Dhansukh Patel, D.M.D.

  • Dentist
  • Alpharetta, GA
National Provider Identifier
1649612144
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014802 Issued in GA
Practice address
12460 Crabapple Rd
Suite 801
Alpharetta, GA 30004-6602
Phone
(256) 673-1082
NPI assigned
Jul 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6038 AL
Dentist 122300000X DN014802 GA Primary

Addresses

Primary practice location

12460 Crabapple Rd
Suite 801
Alpharetta, GA 30004-6602

Mailing address

12460 Crabapple Rd
Suite 801
Alpharetta, GA 30004-6602
Phone (256) 673-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803002147 GA Order and Referring Only - Other (Non-Physician) 4284948373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6038ALMDDentist
DN014802GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1649612144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 CRABAPPLE RD",
            "address_2": "SUITE 801",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046602",
            "telephone_number": "256-673-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 CRABAPPLE RD",
            "address_2": "SUITE 801",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046602",
            "telephone_number": "256-673-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DIPESHKUMAR",
        "middle_name": "DHANSUKH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-24",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6038",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.