Ulpa Patel, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

012422 Issued in GA

Practice address

200 E Ponce de Leon Ave Ste 300
Decatur, GA 30030-3469

Phone

(678) 357-8762

NPI assigned

Feb 13, 2007

Last updated

Feb 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1760524086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 ROYAL SAINT GEORGES LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971650",
            "telephone_number": "167-835-7876",
            "fax_number": "770-441-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PONCE DE LEON AVE STE 300",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303469",
            "telephone_number": "678-357-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ULPA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "012422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shama Jitendra Patel, O.D.
• Shivani B Patel, PHARMD
• Sohil Mukesh Patel, PA-C
• Sonal Patel, MD
• Tina Patel
• Neha Pathak, MD
• Sana Khan Pathan, M.D.
• Pathology Lab of Georgia, LLC
• Paths to Empowerment Counseling Services, LLC
• Pathway to Hope Counseling

• Pediatric Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.