Pratik Sureshbhai Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10439 Issued in NC

Practice address

1030 Freeland Dr
Suite 104
Salisbury, NC 28144-5175

Phone

(855) 894-4107

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NC

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

Practice roles

Locations

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.

• Dr Patel & Patel Associates PLLC

  dba DentalWorld

  • Dentist
  • Salisbury, NC
  • NPI 1699569301
  Medicare reassignment NPD Authorized official
• Dr. McClary & Associates III, P.a.

  dba DentalWorks

  • General Practice Dentistry
  • Salisbury, NC
  • NPI 1962677625
  NPD (past)

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1770934440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 WEIGANDS LN",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942128",
            "telephone_number": "646-407-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FREELAND DR",
            "address_2": "SUITE 104",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281445175",
            "telephone_number": "855-894-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATIK",
        "middle_name": "SURESHBHAI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janakkumar Bhagubhai Patel, DDS
• Mital M Patel, MD
• Nakul R Patel
• Nilesh V Patel, M.D.
• Pranali Dindayal Patel, PHARM.D.
• Rakesh C. Patel, DO
• Ramesh Dayarambhai Patel, M.D.
• Surahi Patel, PA-C
• Mallory Patterson, MSN, RN, CPNP-AC
• Benjamin Paul, PA-C, LAT, ATC

• General Practice Dentistry in Salisbury, NC
• Providers in Salisbury, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.