Active NPI
Pratik C Patel, DDS
- Dentist
- Lake Charles, LA
National Provider Identifier
1669021804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7384
- Practice address
- 2625 Dillard Loop Ste a
Lake Charles, LA 70607-7721 - Phone
- (409) 363-3244
- NPI assigned
- Sep 10, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 35708 | TX | |
| General Practice Dentistry | 1223G0001X | 35708 | TX | |
| Dentist | 122300000X | 7384 | LA | Primary |
Addresses
Primary practice location
2625 Dillard Loop Ste a
Lake Charles, LA 70607-7721
Mailing address
2625 Dillard Loop Ste a
Lake Charles, LA 70607-7721
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 |
|---|---|---|---|
| 7384 | LA | MD | Dentist |
| 35708 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1669021804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 DILLARD LOOP STE A",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706077721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 DILLARD LOOP STE A",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706077721",
"telephone_number": "409-363-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRATIK",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-10",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "35708",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35708",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.