Individual provider Active NPI

Khyati Ankur Patel, DMD

  • Dentist
  • Columbus, OH
National Provider Identifier
1770011876
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
025101 Issued in OH
Practice address
4241 Kimberly Pkwy
Columbus, OH 43232-7225
Phone
(614) 866-7445
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 025101 OH Primary

Addresses

Primary practice location

4241 Kimberly Pkwy
Columbus, OH 43232-7225

Mailing address

5357 Herring Run Way
Dublin, OH 43016-8910
Phone (614) 306-1721

Other names 1

  • Khyatiben Kaushikkumar Patel Former name

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
025101OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shree Siddhivinayak Dental LLC CurrentSince Dec 22, 2024 Accepting new patients
Fixari Family Dental LLC Dentist Past Accepting new patients
Fixari Childrens Dental LLC Dentist Past Accepting new patients

Locations

4290 Home Rd
Ste C
Powell, OH 43065
Phone (614) 306-1721

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496275200000",
    "number": "1770011876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5357 HERRING RUN WAY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168910",
            "telephone_number": "614-306-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 KIMBERLY PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432327225",
            "telephone_number": "614-866-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KHYATI",
        "middle_name": "ANKUR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "025101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHYATIBEN",
            "last_name": "PATEL",
            "middle_name": "KAUSHIKKUMAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.