Individual provider Active NPI

Ohm Mahendra Patel, DDS

  • Dentist
  • Raleigh, NC
National Provider Identifier
1871832048
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10276 Issued in NC
Practice address
9660 Falls of Neuse Rd Ste 153
Raleigh, NC 27615-2473
Phone
(919) 322-3589
Fax
(919) 590-1933
NPI assigned
Feb 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10276 NC Primary

Addresses

Primary practice location

9660 Falls of Neuse Rd Ste 153
Raleigh, NC 27615-2473

Mailing address

9660 Falls of Neuse Rd Ste 153
Raleigh, NC 27615-2473
Phone (919) 322-3589

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

LicenseStateTypeSpecialty
10276NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
O Patel DDS PLLC General Practice CurrentSince Oct 6, 2024 Accepting new patients
Ohm Patel, DDS, PLLC CurrentSince Sep 15, 2019 Accepting new patients

Locations

9660 Falls of Neuse Rd
Ste 153
Raleigh, NC 27615
Phone (919) 205-0520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1871832048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 FALLS OF NEUSE RD STE 153",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152473",
            "telephone_number": "919-322-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 FALLS OF NEUSE RD STE 153",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152473",
            "telephone_number": "919-322-3589",
            "fax_number": "919-590-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "OHM",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.