Individual provider Active NPI

Viral M Patel, D.M.D

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1881917540
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18785 Issued in FL
Practice address
7645 Gate Pkwy Ste 103
Jacksonville, FL 32256-2890
Phone
(904) 998-9820
Fax
(904) 998-6650
NPI assigned
Mar 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18785 FL Primary

Addresses

Primary practice location

7645 Gate Pkwy Ste 103
Jacksonville, FL 32256-2890

Mailing address

7645 Gate Pkwy Ste 103
Jacksonville, FL 32256-2890
Phone (904) 998-9820

Other identifiers 1

IdentifierTypeStateIssuer
0025479-00MedicaidFL

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
I20180404000730 FL Order and Referring Only - DentistPractitioner - Dentist 8820351828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18785FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1881917540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 GATE PKWY STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562890",
            "telephone_number": "904-998-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 GATE PKWY STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562890",
            "telephone_number": "904-998-9820",
            "fax_number": "904-998-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIRAL",
        "middle_name": "M",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025479-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.