Prateek Patel

Primary specialty

DentistTaxonomy code 122300000X

License

DN1860021 Issued in MA

Practice address

2400 Computer Dr
Westborough, MA 01581-1887

Phone

(508) 210-2257

NPI assigned

Jun 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1699407197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LANGLEY RD UNIT 106",
            "city": "NEWTON CENTER",
            "state": "MA",
            "postal_code": "024592394",
            "telephone_number": "917-370-6984",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 COMPUTER DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811887",
            "telephone_number": "508-210-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATEEK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13013",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1860021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Fowler Parente, M.D.
• Park Street Dental
• Pastoral Counseling Centers of Massachusetts, Inc
• Manisha Chirag Patel, PT
• Nisha Megan Patel
• Vipul Patel, MD PHARMD
• Patriots Healthcare
• Peace Integrated Dental, PLLC
• Graham Peck, LMHC, MTBC
• Paige Marti Peck, LICSW

• Dentist in Westborough, MA
• Providers in Westborough, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.