Organization Active NPI

Smita Patel Des Moines DMD PC

  • General Practice Dentistry
  • Des Moines, WA
National Provider Identifier
1902408594
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMITA PATEL DES MOINES DMD PC
Practice address
22506 Marine View Dr S Ste 101
Des Moines, WA 98198-6906
Phone
(720) 603-4700
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Madison Lehman
Title
Credentialing Specialist
Phone
(720) 603-4779

Specialties & licenses 1

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

Addresses

Primary practice location

22506 Marine View Dr S Ste 101
Des Moines, WA 98198-6906

Mailing address

22506 Marine View Dr S Ste 101
Des Moines, WA 98198-6906

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1902408594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22506 MARINE VIEW DR S STE 101",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22506 MARINE VIEW DR S STE 101",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986906",
            "telephone_number": "720-603-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITA PATEL DES MOINES DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4779"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.