Mohawk Dental Care,PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046-669 Issued in NY

Legal business name

MOHAWK DENTAL CARE,PLLC

Practice address

27 Columbia St
Mohawk Dental Car,Pllce,
Mohawk, NY 13407-1323

Phone

(315) 866-5800

Fax

(315) 866-5802

NPI assigned

Feb 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bharatkumar A Patel, DDSNPI 1376606574

Title

Owner

Phone

(315) 866-5800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bharatkumar A Patel, DDS

  • Dentist
  • Mohawk, NY
  • NPI 1376606574
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912046491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COLUMBIA ST",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071323",
            "telephone_number": "315-866-5800",
            "fax_number": "315-866-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COLUMBIA ST",
            "address_2": "MOHAWK DENTAL CAR,PLLCE,",
            "city": "MOHAWK",
            "state": "NY",
            "postal_code": "134071323",
            "telephone_number": "315-866-5800",
            "fax_number": "315-866-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK DENTAL CARE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHARATKUMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-866-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046-669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01672137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Marie Kudrewicz, RN
• Courtney M Lefave
• David D Liu, MD
• Tara L Marsh, LPN
• Mohawk Central School
• Mohawk Medical Supply LLC
• Mohawk Valley Ambulance Corps, Inc (Movac)
• Bharatkumar A Patel, DDS
• Sarah Phillips, LMSW
• Angela Jean Pikul, M.S.CCC/SLP

• General Practice Dentistry in Mohawk, NY
• Providers in Mohawk, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.