Active NPI
Dipti V. Patel, DMD
- General Practice Dentistry
- Austell, GA
National Provider Identifier
1871800979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN010578
- Practice address
- 1678 Mulkey Rd Ste D
Austell, GA 30106-1147 - Phone
- (770) 343-4476
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5797C1 | AL | |
| General Practice Dentistry | 1223G0001X | 9340 | NC | |
| General Practice Dentistry | 1223G0001X | DN010578 | GA | Primary |
Addresses
Primary practice location
1678 Mulkey Rd Ste D
Austell, GA 30106-1147
Mailing address
1678 Mulkey Rd Ste D
Austell, GA 30106-1147
Phone (770) 343-4476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5797C1 | AL | MD | General Practice Dentistry |
| DN010578 | GA | MD | General Practice Dentistry |
| 9340 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1871800979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1678 MULKEY RD STE D",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061147",
"telephone_number": "770-343-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1678 MULKEY RD STE D",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061147",
"telephone_number": "770-343-4476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIPTI",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5797C1",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9340",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN010578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.