Individual provider Active NPI

Raman K Patel, DDS

  • General Practice Dentistry
  • Mount Vernon, WA
National Provider Identifier
1720007263
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00010369 Issued in WA
Practice address
120 S 15TH St
Suite a
Mount Vernon, WA 98274-4500
Phone
(360) 424-7921
Fax
(360) 424-7922
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00010369 WA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

120 S 15TH St
Suite a
Mount Vernon, WA 98274-4500

Mailing address

120 S 15TH St
Suite a
Mount Vernon, WA 98274-4500
Phone (360) 424-7921

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
DE00010369WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Raman K Patel, DDS, PLLC Durable Medical Equipment & Medical Supplies PastSince Dec 21, 2021 Accepting new patients
Khurana & Patel PLLC 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1720007263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S 15TH ST",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744500",
            "telephone_number": "360-424-7921",
            "fax_number": "360-424-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 15TH ST",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744500",
            "telephone_number": "360-424-7921",
            "fax_number": "360-424-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAMAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010369",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.

Verify at the official NPI Registry.