Leena Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11042 Issued in TN

Practice address

3206 Elmhurst Dr
Jonesboro, AR 72404-9616

Phone

(870) 619-1600

Fax

(901) 257-3490

NPI assigned

Jun 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kirby J. Robinson, DDS of Arkansas, PLLC

  • General Practice Dentistry
  • Jonesboro, AR
  • NPI 1033627286
  NPD

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1972164994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 KACIE DR",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371463708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 ELMHURST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049616",
            "telephone_number": "870-619-1600",
            "fax_number": "901-257-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "LEENA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4415",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly C. Pate, MCD CCC-SLP
• Alphaben Patel
• Bhumiben P Patel
• D V Patel, M.D.
• Deep Girish Patel, MD
• Puja Sunil Patel, MD
• Suresh Patel, M.D.
• Zankhana Patel, ATC, LAT
• Kionna Patillo
• Janica Humphrey Patrick, LCSW

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.