Active NPI
Shreyas Indravadan Patel, DDS
- Dentist
- Liverpool, NY
National Provider Identifier
1952415481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 053048
- Practice address
- 8420 Oswego Rd
Liverpool, NY 13090-1004 - Phone
- (315) 652-0777
- Fax
- (315) 652-0779
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 053048 | NY | Primary |
Addresses
Primary practice location
8420 Oswego Rd
Liverpool, NY 13090-1004
Mailing address
8420 Oswego Rd
Liverpool, NY 13090-1004
Phone (315) 652-0777
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 |
|---|---|---|---|
| 053048 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patel Family Dental | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Liverpool, NY
- NPI 1497177745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262476800000",
"number": "1952415481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8420 OSWEGO RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901004",
"telephone_number": "315-652-0777",
"fax_number": "315-652-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 OSWEGO RD",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901004",
"telephone_number": "315-652-0777",
"fax_number": "315-652-0779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHREYAS",
"middle_name": "INDRAVADAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2010-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.