Individual provider Active NPI

Rikin R Patel, DDS

  • General Practice Dentistry
  • Griffith, IN
National Provider Identifier
1942738992
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12012714A Issued in IN
Practice address
1555 N Cline Ave
Griffith, IN 46319
Phone
(219) 838-0256
Fax
(219) 838-2025
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012714A IN Primary

Addresses

Primary practice location

1555 N Cline Ave
Griffith, IN 46319

Mailing address

1555 N Cline Ave
Griffith, IN 46319-1567
Phone (219) 838-0256

Other practice location 1

1555 N Cline Ave
Griffith, IN 46319
Phone (219) 838-0256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218000181 IN Order and Referring Only - DentistPractitioner - Dentist 5496093445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012714AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oplbs, LLC General Practice CurrentSince Dec 10, 2023 Accepting new patients
The Art of Dentistry PC General Practice Past Accepting new patients

Locations

1555 N Cline Ave
Griffith, IN 46319
Phone (219) 838-0256

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1942738992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 N CLINE AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "463191567",
            "telephone_number": "219-838-0256",
            "fax_number": "219-838-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N CLINE AVE",
            "city": "GRIFFITH",
            "state": "IN",
            "postal_code": "46319",
            "telephone_number": "219-838-0256",
            "fax_number": "219-838-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 N Cline Ave",
            "address_purpose": "LOCATION",
            "city": "Griffith",
            "state": "IN",
            "postal_code": "46319",
            "country_code": "US",
            "telephone_number": "219-838-0256",
            "fax_number": "219-838-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RIKIN",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012714A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffith, IN

Sources for this page

Verify at the official NPI Registry.