Individual provider Active NPI

Sushil Patel, BDS, DDS

  • General Practice Dentistry
  • Apopka, FL
National Provider Identifier
1871685800
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18420 Issued in FL
Practice address
1450 Rock Springs Rd
Apopka, FL 32712-2306
Phone
(407) 814-4940
Fax
(407) 814-4875
NPI assigned
Sep 28, 2006
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901018932 MI
General Practice Dentistry 1223G0001X DN18420 FL Primary

Addresses

Primary practice location

1450 Rock Springs Rd
Apopka, FL 32712-2306

Mailing address

1450 Rock Springs Rd
Apopka, FL 32712-2306
Phone (407) 814-4940

Other identifiers 1

IdentifierTypeStateIssuer
001037900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150526000172 FL Order and Referring Only - DentistPractitioner - Dentist 6507186004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018932MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Dental LLC Past Accepting new patients

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1871685800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ROCK SPRINGS RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122306",
            "telephone_number": "407-814-4940",
            "fax_number": "407-814-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ROCK SPRINGS RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327122306",
            "telephone_number": "407-814-4940",
            "fax_number": "407-814-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUSHIL",
        "name_prefix": "Dr.",
        "credential": "BDS,  DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018932",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001037900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.