NPIMap

Organization Active NPI

Amrish Patel

Doing business as Lakeshore Dental P.C.

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1790299139
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414691 Issued in VA
Legal business name
AMRISH PATEL
Doing business as
Lakeshore Dental P.C.
Practice address
1209 Independence Blvd Ste 110
Virginia Beach, VA 23455-5569
Phone
(757) 490-3111
NPI assigned
Nov 21, 2017
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Amrish Patel, DMD
Title
Dentist
Phone
(973) 610-6026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0401414691 VA Primary

Addresses

Primary practice location

1209 Independence Blvd Ste 110
Virginia Beach, VA 23455-5569

Mailing address

1209 Independence Blvd Ste 110
Virginia Beach, VA 23455-5569
Phone (757) 490-3111

Other names 1

  • LAKESHORE DENTAL P.C. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amrish Patel2 organizations share this tax ID, including this one
Part of
Melvin E Cruser III DDS

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1790299139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 INDEPENDENCE BLVD STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555569",
            "telephone_number": "757-490-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 INDEPENDENCE BLVD STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555569",
            "telephone_number": "757-490-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRISH PATEL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMRISH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-610-6026",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKESHORE DENTAL P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.