Individual provider Active NPI

Mitul Patel, DMD

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1679094197
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22862 Issued in FL
Practice address
5500 Bee Ridge Rd Ste 101
Sarasota, FL 34233-1502
Phone
(941) 371-2022
Fax
(941) 289-0192
NPI assigned
Jul 6, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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 DN22862 FL Primary

Addresses

Primary practice location

5500 Bee Ridge Rd Ste 101
Sarasota, FL 34233-1502

Mailing address

5500 Bee Ridge Rd Ste 101
Sarasota, FL 34233-1502
Phone (941) 371-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170830000620 FL Order and Referring Only - DentistPractitioner - Dentist 5991078701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22862FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MMV DMD LLC CurrentSince Dec 1, 2023 Accepting new patients
Mengelberg Dental Arts. Inc PastSince Dec 1, 2023 Accepting new patients
Aventura Pediatric Dentistry LLC PastSince Jun 1, 2021 Accepting new patients
Glicksman, Mars Dental , LLC PastSince Jun 1, 2021 Accepting new patients

Locations

5500 Bee Ridge Rd
Ste 101
Sarasota, FL 34233
Phone (941) 371-2022

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1679094197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 BEE RIDGE RD STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331502",
            "telephone_number": "941-371-2022",
            "fax_number": "941-289-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 BEE RIDGE RD STE 101",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331502",
            "telephone_number": "941-371-2022",
            "fax_number": "941-289-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MITUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-06",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.