Individual provider Active NPI

Bharti B Patel, D.D.S.

  • General Practice Dentistry
  • Orange Park, FL
National Provider Identifier
1679766570
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12189 Issued in FL
Practice address
1580 Wells Rd
Suite 20
Orange Park, FL 32073-2336
Phone
(904) 278-9011
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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 12189 FL Primary

Addresses

Primary practice location

1580 Wells Rd
Suite 20
Orange Park, FL 32073-2336

Mailing address

1580 Wells Rd
Suite 20
Orange Park, FL 32073-2336
Phone (904) 278-9011

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
12189FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Dentistry #2, PLLC General Practice PastSince Apr 24, 2022 Accepting new patients
Kind Care Dentistry LLC General Practice Past Accepting new patients

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1679766570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 WELLS RD",
            "address_2": "SUITE 20",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732336",
            "telephone_number": "904-278-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 WELLS RD",
            "address_2": "SUITE 20",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732336",
            "telephone_number": "904-278-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHARTI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.