Individual provider Active NPI

Meera Roopesh Patel, DDS

  • General Practice Dentistry
  • Woodstock, GA
National Provider Identifier
1760135297
Registry record updated Jan 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122692 Issued in GA
Practice address
6759 Hickory Rd
Woodstock, GA 30188-2019
Phone
(678) 540-1680
NPI assigned
Feb 3, 2022
Last updated
Jan 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2023

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 DN122692 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X GA

Addresses

Primary practice location

6759 Hickory Rd
Woodstock, GA 30188-2019

Mailing address

3088 Hickory View Dr
Newburgh, IN 47630-2680
Phone (812) 455-8361

Other practice location 1

1120 15th St # Gc5110
Augusta, GA 30912-0004
Phone (706) 721-2251

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
DN122692GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dental Professionals, PC General Practice PastSince Jan 29, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1760135297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 HICKORY VIEW DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302680",
            "telephone_number": "812-455-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6759 HICKORY RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882019",
            "telephone_number": "678-540-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St # Gc5110",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MEERA",
        "middle_name": "ROOPESH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122692",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; 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.