Sapna Patla, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D102235400 Issued in NJ

Practice address

723 N Beers St
Suite 1D
Holmdel, NJ 07733-1517

Phone

(732) 335-5885

Fax

(908) 686-2331

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Esthetic Periodontics and Implantology, LLC

  • Periodontics
  • Holmdel, NJ
  • NPI 1013048172
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1912003070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "address_2": "SUITE 1D",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517",
            "telephone_number": "732-335-5885",
            "fax_number": "908-686-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N BEERS ST",
            "address_2": "SUITE 1D",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331517",
            "telephone_number": "732-335-5885",
            "fax_number": "908-686-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATLA",
        "first_name": "SAPNA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "D102235400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munjal P. Patel, M.D.
• Parini Munjal Patel, M.D
• Sagar Patel, MD
• Shruti Patel, DO
• Tulsi Dilip Patel, MD
• Jenifer Paulino, MS
• Nathaniel A Peardon, D.O.
• Anne Ruston Pearl, M.D.
• Pediatric Associates of Holmdel,PC
• Penesetti Prasad MD Et Al (Holmdel Cardiology Associates)

• Periodontics in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.