Ravi Patel, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1856672 Issued in MA

Practice address

127 Harvard Ave
Allston, MA 02134-2702

Phone

(617) 789-4200

NPI assigned

Aug 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allston Family Dental

  • General Practice Dentistry
  • Allston, MA
  • NPI 1639356033
  NPD (past)
• Springfield Family Dental PC

  • Dental Clinic/Center
  • Allston, MA
  • NPI 1700500840
  NPD (past)

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1902215395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WORCESTER ST",
            "address_2": "APT # 214",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183322",
            "telephone_number": "201-888-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 HARVARD AVE",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021342702",
            "telephone_number": "617-789-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RAVI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucia Michelle Pantuosco
• Sehyun Park
• Tamie Parker Song, MSW
• Linda Le Parker
• Niraja G Patel
• Rutvij Rameshbhai Patel, RPH
• Lucy Belle Paterson
• Daniel Kenneth Patrikis
• Paul R Clark
• Mariel Paz-Y-Mino

• General Practice Dentistry in Allston, MA
• Providers in Allston, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.

Verify at the official NPI Registry.