Active NPI
Dhwani Ketan Patel, DDS
- General Practice Dentistry
- Cameron, NC
National Provider Identifier
1700550191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12382
- Practice address
- 468 NC Highway 24 87
Cameron, NC 28326 - Phone
- (919) 498-0575
- NPI assigned
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12382 | NC | Primary |
Addresses
Primary practice location
468 NC Highway 24 87
Cameron, NC 28326
Mailing address
1432 Brynmar Oaks Cir
Apex, NC 27539-3003
Phone (925) 953-3854
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12382 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurence R. Mester, Jr. DDS & Associates PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Carolina Lakes Family Dental
- General Practice Dentistry
- Cameron, NC
- NPI 1912225996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1700550191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 BRYNMAR OAKS CIR",
"city": "APEX",
"state": "NC",
"postal_code": "275393003",
"telephone_number": "925-953-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 NC HIGHWAY 24 87",
"city": "CAMERON",
"state": "NC",
"postal_code": "28326",
"telephone_number": "919-498-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHWANI",
"middle_name": "KETAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "12382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cameron, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.