Raj Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401007938 Issued in VA

Practice address

2757 Jefferson Davis Hwy Ste 119
Stafford, VA 22554-8328

Phone

(540) 455-9697

NPI assigned

May 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1750793477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2757 JEFFERSON DAVIS HWY STE 119",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548328",
            "telephone_number": "540-455-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 JEFFERSON DAVIS HWY STE 119",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548328",
            "telephone_number": "540-455-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAJ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-ORGANIZATIONAL",
            "identifier": "1063422657",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partners for Attention and Learning - BH, LLC
• Galadriel Lea Pastor, PA-C
• Ashish Patel, DMD, MD
• Payal M Patel, PT
• Purvi Patel, D.C.
• Pathways Families & Communities Services LLC
• Patient First Richmond Medical Group PLLC (Patient First - Garrisonville)
• Christina Patterson Parker
• Katherine Patterson
• Peretha Faye Patterson, C.O.T.A.

• Dentist in Stafford, VA
• Providers in Stafford, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.