Individual provider Active NPI

Rashmikant R. Patel, B.D.S., M.D.SC.

  • General Practice Dentistry
  • Orange Park, FL
National Provider Identifier
1790800241
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10867 Issued in FL
Practice address
168 Blanding Blvd
Suite 4 a-1 Dental Care, Inc.
Orange Park, FL 32073-3371
Phone
(904) 276-5143
Fax
(904) 276-2737
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10867 FL Primary

Addresses

Primary practice location

168 Blanding Blvd
Suite 4 a-1 Dental Care, Inc.
Orange Park, FL 32073-3371

Mailing address

168 Blanding Blvd 4
Orange Park, FL 32073-3342
Phone (904) 276-5143

Other identifiers 1

IdentifierTypeStateIssuer
072384300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160112000259 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638471436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10867FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
A-1 Dental Care,Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1790800241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BLANDING BLVD 4",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733342",
            "telephone_number": "904-276-5143",
            "fax_number": "904-276-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 BLANDING BLVD",
            "address_2": "SUITE 4 A-1 DENTAL CARE, INC.",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733371",
            "telephone_number": "904-276-5143",
            "fax_number": "904-276-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RASHMIKANT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.D.SC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072384300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.