Dhara Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02633000 Issued in NJ

Practice address

626 Chestnut St
Union, NJ 07083-9399

Phone

(908) 688-1039

NPI assigned

Mar 14, 2015

Last updated

Aug 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Dhara Patel Kansagra Other name

Medicare fee-for-service enrollment

Enrolled in NJ

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

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.

• Brighter Dental Care (Warren)

  • Dentist
  • Warren, NJ
  • NPI 1467968941
  NPD (past)
• Smile Central Dover P.C.

  • Dentist
  • Dover, NJ
  • NPI 1033833843
  NPD (past)
• Warren Dental & Specialty Group, LLC

  dba Brighter Dental Care (Warren)

  • Dentist
  • Warren, NJ
  • NPI 1467902205
  NPD (past)

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1790178770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FAR KNOLL LN",
            "city": "WHITEHOUSE STATION",
            "state": "NJ",
            "postal_code": "088893422",
            "telephone_number": "610-506-5125",
            "fax_number": "609-252-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CHESTNUT ST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070839399",
            "telephone_number": "908-688-1039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Market St",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075051471",
            "country_code": "US",
            "telephone_number": "973-742-4200",
            "fax_number": "973-742-4997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 Courtyard Dr",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NJ",
            "postal_code": "088444258",
            "country_code": "US",
            "telephone_number": "908-722-0321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Mountain Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "NJ",
            "postal_code": "070592627",
            "country_code": "US",
            "telephone_number": "908-753-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DHARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "026330",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02633000",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0526070",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHARA",
            "last_name": "KANSAGRA",
            "middle_name": "PATEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrice Paolella, RD, CDE
• Paragon Point Home Care LLC
• Kenneth Park, DACM
• Rosely Parra, LSW
• Dhara Patel
• Heena R Patel
• Hina A Patel, RPH
• Isita Patel
• Janki Patel
• Neha S Patel, PHARM. D.

• General Practice Dentistry in Union, NJ
• Providers in Union, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.