Active NPI
Binal Jagadish Patel
- Dentist
- Memphis, TN
National Provider Identifier
1972096998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10767
- Practice address
- 113 Harbor Town SQ Ste 203
Memphis, TN 38103-8890 - Phone
- (901) 453-6081
- NPI assigned
- Jun 13, 2018
- Sex
- Female
- 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 | 10767 | TN | Primary |
Addresses
Primary practice location
113 Harbor Town SQ Ste 203
Memphis, TN 38103-8890
Mailing address
600 S Front St Apt 304
Memphis, TN 38103-1657
Phone (931) 644-3968
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10767 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Higginbotham Dental Group, PLLC | Dentist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528848000000",
"number": "1972096998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S FRONT ST APT 304",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381031657",
"telephone_number": "931-644-3968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 HARBOR TOWN SQ STE 203",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381038890",
"telephone_number": "901-453-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "BINAL",
"middle_name": "JAGADISH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-13",
"last_updated": "2018-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.