S. a. Patel D.D.S., P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

8395 Issued in MN

Legal business name

S. A. PATEL D.D.S., P.A.

Practice address

1025 10TH Ave. Box 676
Clarkfield, MN 56223-0676

Phone

(320) 669-7564

NPI assigned

May 17, 2007

Last updated

May 20, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

DR SA PATEL PAAs reported in NPPES

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

Authorized official

Name

Dr. Subhashchandra Ambalal Patel, DDS

Title

President

Phone

(320) 669-7564

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

S a Patel DDS PA3 organizations share this tax ID, including this one

Part of

S a Patel DDS PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dr S.a. Patel

  • General Practice Dentistry
  • Cottonwood, MN
  • NPI 1447485255
  NPD tax ID
• Dr Sa Patel PA

  • Dental Clinic/Center
  • Cottonwood, MN
  • NPI 1316115140
  NPD tax ID

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1932316965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 10TH AVE. BOX 676",
            "city": "CLARKFIELD",
            "state": "MN",
            "postal_code": "562230676",
            "telephone_number": "320-669-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 10TH AVE. BOX 676",
            "city": "CLARKFIELD",
            "state": "MN",
            "postal_code": "562230676",
            "telephone_number": "320-669-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. A. PATEL D.D.S., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR SA PATEL PA",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUBHASHCHANDRA",
        "authorized_official_middle_name": "AMBALAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-669-7564",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "983217300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wyatt Haugen
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• Open Door Health Center

• Dentist in Clarkfield, MN
• Providers in Clarkfield, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.