Active NPI
Chirag Patel
- General Practice Dentistry
- Myrtle Beach, SC
National Provider Identifier
1710628417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10622
- Practice address
- 100 Debo Dr Unit 110
Myrtle Beach, SC 29579-4921 - Phone
- (843) 236-8848
- Fax
- (843) 236-8857
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10622 | SC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
100 Debo Dr Unit 110
Myrtle Beach, SC 29579-4921
Mailing address
2717 Brickmill LN
Mount Pleasant, SC 29466-7917
Phone (843) 743-8917
Other practice location 1
625 Elmwood Ave # 683
Rochester, NY 14620-2913
Phone (585) 275-5051
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1710628417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 BRICKMILL LN",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294667917",
"telephone_number": "843-743-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DEBO DR UNIT 110",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794921",
"telephone_number": "843-236-8848",
"fax_number": "843-236-8857"
}
],
"practiceLocations": [
{
"address_1": "625 Elmwood Ave # 683",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146202913",
"country_code": "US",
"telephone_number": "585-275-5051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "CHIRAG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-05",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "10622",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.