Srujalkumar Patel, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

2901020843 Issued in MI

Practice address

2501 W Pierson Rd
Dental Dreams
Flint, MI 48504-6802

Phone

(310) 890-9334

NPI assigned

Mar 4, 2016

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1760842652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W PIERSON ROAD",
            "address_2": "DENTAL DREAMS",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W PIERSON RD",
            "address_2": "DENTAL DREAMS",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485046802",
            "telephone_number": "310-890-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SRUJALKUMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-04",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piyush N Patel
• Pooja Patel
• Prajesh Patel, MD
• Purvaj Mahendra Patel, MD
• Riya Patel
• Suraj Vasant Patel, MD
• Tejashkumar M Patel, PHARMD
• Urmi Patel, MD
• Vina R Patel, M.D.
• Virangkumar Harshadbhai Patel, MD

• Dentist in Flint, MI
• Providers in Flint, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.