Active NPI
Daven H Patel, DDS
- Dentist
- Merritt Island, FL
National Provider Identifier
1942558861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 19942
- Practice address
- 800 E. Merritt Island Causeway
Merritt Island, FL 32952 - Phone
- (347) 369-4887
- NPI assigned
- Aug 27, 2012
- Last updated
- Aug 27, 2012
- Sex
- Male
- 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 | DN 19942 | FL | Primary |
Addresses
Primary practice location
800 E. Merritt Island Causeway
Merritt Island, FL 32952
Mailing address
6924 21St Ave Apt 2R
Nyc, NY 11204-5436
Phone (347) 369-4887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 19942 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1942558861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6924 21ST AVE APT 2R",
"city": "NYC",
"state": "NY",
"postal_code": "112045436",
"telephone_number": "347-369-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E. MERRITT ISLAND CAUSEWAY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "32952",
"telephone_number": "347-369-4887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DAVEN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 19942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.