Active NPI
Shrineel Patel
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1720599939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401415682
- Practice address
- 29 Bee Street
Charleston, SC 29425-0001 - Phone
- (843) 792-2101
- NPI assigned
- Oct 14, 2017
- Last updated
- Oct 14, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401415682 | VA | Primary |
Addresses
Primary practice location
29 Bee Street
Charleston, SC 29425-0001
Mailing address
1103 Rush CT
Celebration, FL 34747-4874
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 |
|---|---|---|---|
| 0401415682 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Run Dental of Libbie Mill, PLLC | General Practice | Past | Accepting new patients |
| River Run Dental of Winterfield Crossing, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba River Run Dental
- General Practice Dentistry
- Richmond, VA
- NPI 1720795131
-
- Dentist
- Midlothian, VA
- NPI 1760147706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507939200000",
"number": "1720599939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 RUSH CT",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BEE STREET",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294250001",
"telephone_number": "843-792-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHRINEEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-14",
"last_updated": "2017-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401415682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.