Reena Patel, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13880 Issued in MD

Practice address

3135 Joseph Biggs Memorial Hwy
Suite 2B
North East, MD 21901-1839

Phone

(410) 983-3000

Fax

(410) 567-5449

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 and National Provider Directory roles.

• North Bay Family Dental

  • General Practice Dentistry
  • North East, MD
  • NPI 1457748121
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1831213917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 JOSEPH BIGGS MEMORIAL HWY",
            "address_2": "SUITE 2B",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219011839",
            "telephone_number": "410-983-3000",
            "fax_number": "410-567-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 JOSEPH BIGGS MEMORIAL HWY",
            "address_2": "SUITE 2B",
            "city": "NORTH EAST",
            "state": "MD",
            "postal_code": "219011839",
            "telephone_number": "410-983-3000",
            "fax_number": "410-567-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "REENA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Chidi Ohanenye, O.D.
• Cornelius O. Ope, MD
• Eileen M Pack, CRNP
• Pamela Leclaire MD, LLC
• Darshna Patel
• Simony Patel, DPT
• Pathways 4 Mental Health Monarch
• Alakeisha Patterson, LGPC
• Sean Michael Peden, PT, DPT
• Antonio Pedulla Jr., CRNP

• General Practice Dentistry in North East, MD
• Providers in North East, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.