Parth P Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D011186 Issued in AZ

Practice address

100 N Gila Blvd
Gila Bend, AZ 85337-1016

Phone

(877) 809-5092

NPI assigned

Jun 21, 2021

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Adelante Healthcare, Inc.

  dba Adelante Healthcare-Surprise

  • Federally Qualified Health Center (FQHC)
  • Surprise, AZ
  • NPI 1205994761
  NPD (past)
• Adelante Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1891853446
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1912576349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N GILA BLVD",
            "city": "GILA BEND",
            "state": "AZ",
            "postal_code": "853371016",
            "telephone_number": "877-809-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 S Lycoming Mall Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Muncy",
            "state": "PA",
            "postal_code": "177568154",
            "country_code": "US",
            "telephone_number": "570-322-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PARTH",
        "middle_name": "P",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D011186",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm (San Lucy Clinic)
• Dhew Indian Health Service Health Services & Mental Health Adm. (Gila Bend Clinic Dental Services)
• Christopher H Ferschke, MSN, APRN, FNP-C
• Terez Jamille Getz, D.O.
• Olga Macias
• Whitney Raser
• Rocky Mountain Holdings, LLC (TriState Care Flight)
• Sun Valley Pharmacy LLC (Sun Valley Pharmacy)
• Town of Gila Bend (Gila Bend Rescue/Ambulance)

• General Practice Dentistry in Gila Bend, AZ
• Providers in Gila Bend, AZ by specialty
• General Practice Dentistry in Arizona

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