Active NPI
Kiran Patel, DMD
- Dentist
- Methuen, MA
National Provider Identifier
1871793174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037274
- Practice address
- 460 Broadway
Methuen, MA 01844-2052 - Phone
- (978) 686-5231
- NPI assigned
- Jul 24, 2007
- 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 | DS037274 | PA | Primary |
Addresses
Primary practice location
460 Broadway
Methuen, MA 01844-2052
Mailing address
114 River Pointe Way
Apartment 6206
Lawrence, MA 01843-3854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20160408000826 | MA | Order and Referring Only - Dentist | 2062710940 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037274 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1871793174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 RIVER POINTE WAY",
"address_2": "APARTMENT 6206",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018433854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 BROADWAY",
"city": "METHUEN",
"state": "MA",
"postal_code": "018442052",
"telephone_number": "978-686-5231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KIRAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-24",
"last_updated": "2023-09-18",
"certification_date": "2023-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.