Active NPI
Sejal Patel
- Dentist
- Boston, MA
National Provider Identifier
1922596931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1858440
- Practice address
- 330 MLK Blvd
Boston, MA 02119-1868 - Phone
- (617) 427-4242
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1858440 | MA | Primary |
Addresses
Primary practice location
330 MLK Blvd
Boston, MA 02119-1868
Mailing address
136 Morningside Dr
Marion, AR 72364-3019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180723000472 | CT | Order and Referring Only - Dentist | 0446507420 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1858440 | MA | MD | Dentist |
Interoperability endpoints
- sejal.patel@xdr.hhchealthdirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1922596931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 MORNINGSIDE DR",
"city": "MARION",
"state": "AR",
"postal_code": "723643019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MLK BLVD",
"city": "BOSTON",
"state": "MA",
"postal_code": "021191868",
"telephone_number": "617-427-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SEJAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-25",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1858440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.