Individual provider Active NPI

Chitrang B. Patel, DMD

  • General Practice Dentistry
  • Lowell, MA
National Provider Identifier
1669886602
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1856529 Issued in MA
Practice address
158 Wood St Unit 3
Lowell, MA 01851
Phone
(978) 677-2114
Fax
(978) 677-2123
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN1856529 MA Primary

Addresses

Primary practice location

158 Wood St Unit 3
Lowell, MA 01851

Mailing address

158 Wood St Unit 3
Lowell, MA 01851-2107
Phone (978) 677-2114

Other practice location 1

162 Haverhill St
Methuen, MA 01844-3462
Phone (978) 682-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20160325000582 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779880364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1856529MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Dental, P.C. Current Accepting new patients
BSC Dental, LLC General Practice Past Accepting new patients

Locations

158 Wood St
Ste 3
Lowell, MA 01851
Phone (978) 677-2114

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1669886602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WOOD ST UNIT 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018512107",
            "telephone_number": "978-677-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WOOD ST UNIT 3",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01851",
            "telephone_number": "978-677-2114",
            "fax_number": "978-677-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Haverhill St",
            "address_purpose": "LOCATION",
            "city": "Methuen",
            "state": "MA",
            "postal_code": "018443462",
            "country_code": "US",
            "telephone_number": "978-682-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHITRANG",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.