Individual provider Active NPI

Malavi K Patel, D.M.D

  • Dentist
  • Sunrise, FL
National Provider Identifier
1669785911
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19048 Issued in FL
Practice address
8623 NW 36TH St
Apt # 306
Sunrise, FL 33351-6654
Phone
(954) 856-5243
NPI assigned
Jul 15, 2010
Last updated
Jul 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19048 FL Primary

Addresses

Primary practice location

8623 NW 36TH St
Apt # 306
Sunrise, FL 33351-6654

Mailing address

8623 NW 36TH St
Apt # 306
Sunrise, FL 33351-6654
Phone (954) 856-5243

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

LicenseStateTypeSpecialty
DN19048FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Smiles Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1669785911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 NW 36TH ST",
            "address_2": "APT # 306",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516654",
            "telephone_number": "954-856-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 NW 36TH ST",
            "address_2": "APT # 306",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516654",
            "telephone_number": "954-856-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MALAVI",
        "middle_name": "K",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.