Individual provider Active NPI

Tapas Patel

  • Dentist
  • Gastonia, NC
National Provider Identifier
1851888333
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11483 Issued in NC
Practice address
4008 E Franklin Blvd Ste 100
Gastonia, NC 28056
Phone
(704) 816-0649
NPI assigned
Apr 19, 2018
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11483 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4008 E Franklin Blvd Ste 100
Gastonia, NC 28056

Mailing address

4008 E Franklin Blvd Ste 100
Gastonia, NC 28056-8537
Phone (704) 816-0649

Other practice location 1

385 S Columbia St
Chapel Hill, NC 27599
Phone (919) 537-3576

Other practice location 2

385 S Columbia St
Chapel Hill, NC 27599
Phone (919) 537-3576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200430000320 NC Order and Referring Only - DentistPractitioner - Dentist 7012347222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ganglani DMD PLLC CurrentSince Aug 16, 2020 Accepting new patients
Tapas P. Patel, DDS, PLLC Current Accepting new patients

Locations

4008 E Franklin Blvd
Ste 100
Gastonia, NC 28056
Phone (704) 816-0649

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1851888333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 E FRANKLIN BLVD STE 100",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568537",
            "telephone_number": "704-816-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 E FRANKLIN BLVD STE 100",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28056",
            "telephone_number": "704-816-0649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 S Columbia St",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "27599",
            "country_code": "US",
            "telephone_number": "919-537-3576",
            "fax_number": "919-537-3586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 S Columbia St",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "27599",
            "country_code": "US",
            "telephone_number": "919-537-3576",
            "fax_number": "919-537-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TAPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11483",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.