Krupa Patel

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02805500 Issued in NJ

Practice address

1165 Mantua Pike
West Deptford, NJ 08051-1649

Phone

(856) 464-1141

NPI assigned

Apr 25, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• DK Dentistry

  • General Practice Dentistry
  • West Deptford, NJ
  • NPI 1942045307
  NPD Authorized official
• Village Dental PLLC

  • Dental Clinic/Center
  • Leesburg, VA
  • NPI 1083593008
  NPD Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1871028035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MANTUA PIKE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080511649",
            "telephone_number": "757-679-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MANTUA PIKE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080511649",
            "telephone_number": "856-464-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRUPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02805500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke O Oni, MB.BS, MBA
• Kubura Onilogbo, NP
• Jennifer L Palma, APN
• Joseph Robert Panchella, M.S, ATC
• Darshan V Patel
• Dylan A. Penna-Powell, MA
• Gabriel Perez, DMD
• Jeffrey Petrozzino, MD
• Premier Brain and Spine, LLC
• Premier Orthopaedic & Sports Medicine Assoc of Southern NJ LLC

• Dentist in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.