Shaku J Patel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000003605 Issued in TN

Practice address

209 Irish Cemetery Rd
Tazewell, TN 37879-3611

Phone

(423) 626-3345

Fax

(423) 626-4341

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1972686616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 IRISH CEMETERY RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793611",
            "telephone_number": "423-626-3345",
            "fax_number": "423-626-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 IRISH CEMETERY RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793611",
            "telephone_number": "423-626-3345",
            "fax_number": "423-626-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHAKU",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000003605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Careye Jolene Neely, PT
• Donna Neely, SPEECH PATHOLOGIST
• Anna Noel Nerren, FNP
• Victoria Lynn Parker, PTA
• Jaykrishna Patel, M.D.
• Pediatrics to Parents Medical, PC
• Monica Rae Poore, LMT
• Preferred Surgical Associates
• Benny Lee Raby, PHARMACIST
• Teresa A Rasmussen, P.A.C.

• General Practice Dentistry in Tazewell, TN
• Providers in Tazewell, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.