Individual provider Active NPI

Nira Patel

  • Pediatric Dentistry
  • Delaware, OH
National Provider Identifier
1700108123
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30-024419 Issued in OH
Practice address
3769 Columbus Pike Ste 100
Delaware, OH 43015-7213
Phone
(740) 657-1562
NPI assigned
Feb 26, 2010
Last updated
May 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30-024419 OH Primary

Addresses

Primary practice location

3769 Columbus Pike Ste 100
Delaware, OH 43015-7213

Mailing address

845 N High St Unit 403
Columbus, OH 43215-6442

Other practice location 1

19 Executive Center Dr
Chillicothe, OH 45601-8087
Phone (740) 773-4066

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
30-024419OHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna J Miller DMD Daniel F Green DDS and Jeremy D Crabtree DDS Inc Past Accepting new patients
Delaware Pediatric Dentistry - Sachin S. Parulkar, D.D.S., L.L.C. Pediatric Dentistry 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, 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": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1700108123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N HIGH ST UNIT 403",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432156442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 COLUMBUS PIKE STE 100",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157213",
            "telephone_number": "740-657-1562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Executive Center Dr",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018087",
            "country_code": "US",
            "telephone_number": "740-773-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-26",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-024419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.