Individual provider Active NPI

Chetna Patel

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1841772779
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11079 Issued in NC
Practice address
1407 Hillsborough St
Raleigh, NC 27605-1828
Phone
(919) 834-1432
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 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 11079 NC Primary

Addresses

Primary practice location

1407 Hillsborough St
Raleigh, NC 27605-1828

Mailing address

1407 Hillsborough St
Raleigh, NC 27605-1828
Phone (919) 834-1432

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
11079NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Chetna R. Patel DMD PLLC General Practice Current Accepting new patients
Patrick M. Roberson, DDS, PA General Practice CurrentSince Dec 16, 2020 Accepting new patients

Locations

1407 Hillsborough St
Raleigh, NC 27605
Phone (919) 624-1150

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.

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1841772779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051828",
            "telephone_number": "919-834-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 HILLSBOROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051828",
            "telephone_number": "919-834-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "CHETNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.