Active NPI
Kishen Patel
- Dentist
- Sarasota, FL
National Provider Identifier
1871140848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN24539
- Practice address
- 5425 Fruitville Rd Ste 16
Sarasota, FL 34232-6418 - Phone
- (941) 343-9777
- NPI assigned
- Aug 23, 2019
- Last updated
- Mar 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN24539 | FL | Primary |
Addresses
Primary practice location
5425 Fruitville Rd Ste 16
Sarasota, FL 34232-6418
Mailing address
8200 E Jefferson Ave Apt 610
Detroit, MI 48214-2657
Phone (678) 975-8169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703002209 | GA | Order and Referring Only - Dentist | 8022477447 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN24539 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tamiami Dental Care PLLC | Dentist | Current | Accepting new patients |
| Florida Dental, PA | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Dentist
- Naples, FL
- NPI 1770415077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741392000000",
"number": "1871140848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 E JEFFERSON AVE APT 610",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142657",
"telephone_number": "678-975-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 FRUITVILLE RD STE 16",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342326418",
"telephone_number": "941-343-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KISHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-23",
"last_updated": "2025-03-08",
"certification_date": "2025-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN24539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2025; 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.