Organization Active NPI

Anisha Patel DDS PLLC

  • General Practice Dentistry
  • Glen Allen, VA
National Provider Identifier
1902328958
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413640 Issued in VA
Legal business name
ANISHA PATEL DDS PLLC
Practice address
2448 Old Brick Rd
Glen Allen, VA 23060-5841
Phone
(804) 360-0355
NPI assigned
Jul 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

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

Authorized official

Name
Dr. Anisha Patel
Title
DDS/Owner
Phone
(804) 360-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 0401413640 VA Primary

Addresses

Primary practice location

2448 Old Brick Rd
Glen Allen, VA 23060-5841

Mailing address

4313 Allenbend Cir
Glen Allen, VA 23060-6520
Phone (434) 770-2504

Other names 1

  • Village Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2448 Old Brick Rd
Glen Allen, VA 23060
Phone (804) 360-0355

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1902328958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 ALLENBEND CIR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606520",
            "telephone_number": "434-770-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 OLD BRICK RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230605841",
            "telephone_number": "804-360-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISHA PATEL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANISHA",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "804-360-0355",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.