Individual provider Active NPI

Ushma Patel, D.M.D.

  • General Practice Dentistry
  • Suwanee, GA
National Provider Identifier
1962424218
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011712 Issued in GA
Practice address
6916 McGinnis Ferry Rd
Suite 500
Suwanee, GA 30024-1258
Phone
(770) 623-8750
NPI assigned
Jul 24, 2006
Last updated
Jun 22, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011712 GA Primary
General Practice Dentistry 1223G0001X 14353 FL

Addresses

Primary practice location

6916 McGinnis Ferry Rd
Suite 500
Suwanee, GA 30024-1258

Mailing address

6916 McGinnis Ferry Rd
Suite 500
Suwanee, GA 30024-1258
Phone (770) 623-8750

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

LicenseStateTypeSpecialty
14353FLMDGeneral Practice Dentistry
011712GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Dental of Georgia PC General Practice PastSince Feb 1, 2020 Accepting new patients
Ushma Patel D.M.D., P.C. General Practice Past Accepting new patients

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1962424218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 MCGINNIS FERRY RD",
            "address_2": "SUITE 500",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241258",
            "telephone_number": "770-623-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 MCGINNIS FERRY RD",
            "address_2": "SUITE 500",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241258",
            "telephone_number": "770-623-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "USHMA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "011712",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14353",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.