Ketan Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012835 Issued in GA

Practice address

342 N Main St
Suite 110
Alpharetta, GA 30004-8376

Phone

(678) 762-1613

Fax

(678) 762-1689

NPI assigned

Aug 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Comprehensive Dental Center

  • Dentist
  • Alpharetta, GA
  • NPI 1740308576
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902819352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST",
            "address_2": "SUITE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048376",
            "telephone_number": "678-762-1613",
            "fax_number": "678-762-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST",
            "address_2": "SUITE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048376",
            "telephone_number": "678-762-1613",
            "fax_number": "678-762-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KETAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500129458B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divya Patel, PHARMD
• Ektaben Patel, PHARMD
• Hamish Patel, PHARM.D
• Kalyani Patel, M.D.
• Ketan Patel
• Kunjal Patel, PHARM.D
• Mamta J Patel, O.D.
• Milen Kumar Patel
• Minal N Patel, PHARMD
• Monika Patel, PHARMD

• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.