Individual provider Active NPI

Mahesh Chunibhai Patel, BDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1811044035
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042610 Issued in NY
Practice address
380 Ridgewood Ave
Brooklyn, NY 11208-1448
Phone
(718) 277-8289
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 042610 NY Primary

Addresses

Primary practice location

380 Ridgewood Ave
Brooklyn, NY 11208-1448

Mailing address

380 Ridgewood Ave
Brooklyn, NY 11208-1448
Phone (718) 277-8289

Other identifiers 1

IdentifierTypeStateIssuer
01180987MedicaidNY

Other names 1

  • Dr. Mahesh Chunibhai Patel Other 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
042610NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1811044035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 RIDGEWOOD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081448",
            "telephone_number": "718-277-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 RIDGEWOOD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081448",
            "telephone_number": "718-277-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAHESH",
        "middle_name": "CHUNIBHAI",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01180987",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHESH",
            "last_name": "PATEL",
            "middle_name": "CHUNIBHAI",
            "prefix": "DR.",
            "credential": "BDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.