Prashanta Patel, DDS MPH FICOI

Primary specialty

DentistTaxonomy code 122300000X

License

D011671 Issued in AZ

Practice address

2827 W Peoria Ave Ste 101
Phoenix, AZ 85029-5213

Phone

(602) 749-1000

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Metrocenter Az Dental PLLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1033685268
  NPD (past)
• Family Dental Associates

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1487853644
  NPD (past)
• Jonathan E Mason DMD PC

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1215679568
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1760157069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 PARNASSUS AVE # 75",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 W PEORIA AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295213",
            "telephone_number": "602-749-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 General Wing Rd",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014682",
            "country_code": "US",
            "telephone_number": "802-775-0819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 Parnassus Ave # 75",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432210",
            "country_code": "US",
            "telephone_number": "415-514-0476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRASHANTA",
        "name_prefix": "Dr.",
        "credential": "DDS MPH FICOI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0134076",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palna Suri Patel, PHARMD
• Parag Jhaver Patel, M.D.
• Payal S Patel, M.D.
• Pooja Vijay Patel, PHARMD
• Pranav Patel, MD
• Priti R Patel, M.D.
• Priyanka Patel, FNP-BC
• Priyanka Patel
• Punam Patel
• Rachel Elisabeth Allen Patel, CRNA

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

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