Trisha Rajesh Patel, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

4000-18 Issued in MS

Practice address

315 Morrison Dr
Clinton, MS 39056-5239

Phone

(601) 925-5163

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Signature Smiles PLLC

  • General Practice Dentistry
  • Madison, MS
  • NPI 1619600269
  NPD Authorized official
• Advance Dental Clinic

  • Dentist
  • Jackson, MS
  • NPI 1073708913
  NPD (past)

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1962995605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUMMER LAKE CV",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578632",
            "telephone_number": "601-540-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MORRISON DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565239",
            "telephone_number": "601-925-5163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1555 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392111801",
            "country_code": "US",
            "telephone_number": "601-206-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TRISHA",
        "middle_name": "RAJESH",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "4000-18",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Dental Group - Clinton PLLC
• Jessica Parker, PTA
• David King Parks, DMD
• Tracy Denise Parsons
• Khushi Prakash Patel, PA-C
• Wilford J Patterson, M D
• Patton Durable Equipment Supplies,LLC.
• Roy C Patton
• Peace Children'S Clinic
• Charles Pearson, MD

• Dentist in Clinton, MS
• Providers in Clinton, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.