Active NPI
Raj Patel, DMD
- Dentist
- Warner Robins, GA
National Provider Identifier
1821775347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN123096
- Practice address
- 1299 Russell Pkwy
Warner Robins, GA 31088-5582 - Phone
- (478) 923-6449
- NPI assigned
- Jun 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN123096 | GA | Primary |
Addresses
Primary practice location
1299 Russell Pkwy
Warner Robins, GA 31088-5582
Mailing address
1299 Russell Pkwy
Warner Robins, GA 31088-5582
Phone (478) 923-6449
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN123096 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry for Warner Robins, P.C. | Dentist | Past | Accepting new patients |
| Koch & Crossley LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Warner Robins, GA
- NPI 1205288099
-
- Dentist
- Warner Robins, GA
- NPI 1336570837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1821775347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 RUSSELL PKWY",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310885582",
"telephone_number": "478-923-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 RUSSELL PKWY",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310885582",
"telephone_number": "478-923-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJ",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN123096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.