NPIMap

Organization Active NPI

Manisha Desai Patel DDS

  • General Practice Dentistry
  • Lenoir, NC
National Provider Identifier
1861689507
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6332 Issued in NC
Legal business name
MANISHA DESAI PATEL DDS
Practice address
310 Mulberry St SW
Lenoir, NC 28645-5721
Phone
(828) 754-7881
Fax
(828) 754-5391
NPI assigned
Sep 26, 2007
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
MANISHA DESAI PATEL DDSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Paresh B Patel, DDSNPI 1639198401
Title
Owner
Phone
(828) 754-7881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 6771 NC
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6332 NC Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 8154 NC

Addresses

Primary practice location

310 Mulberry St SW
Lenoir, NC 28645-5721

Mailing address

310 Mulberry St SW
Lenoir, NC 28645
Phone (828) 754-7881

Other identifiers 3

IdentifierTypeStateIssuer
899008CMedicaidNC
5905741MedicaidNC
899008AMedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Manisha Desai Patel2 organizations share this tax ID, including this one
Part of
Manisha Desai Patel

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1861689507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "28645",
            "telephone_number": "828-754-7881",
            "fax_number": "828-754-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455721",
            "telephone_number": "828-754-7881",
            "fax_number": "828-754-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISHA DESAI PATEL DDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANISHA DESAI PATEL DDS",
        "enumeration_date": "2007-09-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-754-7881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "6771",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6332",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899008C",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905741",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899008A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.