Active NPI
Shital N Patel, DDS
- Pediatric Dentistry
- Midlothian, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 0401413587
- Practice address
- 305 Schofield Dr
Midlothian, VA 23113-7331 - Phone
- (804) 601-3139
- Fax
- (804) 451-5993
- NPI assigned
- Jul 28, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401413587 | VA | |
| Pediatric Dentistry | 1223P0221X | 0401413587 | VA | Primary |
Addresses
Primary practice location
305 Schofield Dr
Midlothian, VA 23113-7331
Mailing address
305 Schofield Dr
Midlothian, VA 23113-7331
Phone (804) 601-3139
Other practice location 1
6900 Forest Ave
Suite 110
Richmond, VA 23230-1701
Phone (804) 893-8715
Other practice location 2
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06778 | Other | VA | GROUP PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://midlothianpediatricdentist.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St. Mary'S Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours St Marys Hospital of Richmond LLC | Current | Accepting new patients | |
| Bon Secours St Mary'S Hospital of Richmond LLC | Pediatric Dentistry | Current | Accepting new patients |
| Bon Secours-St. Mary'S Hospital of Richmond, Inc. | Past | Accepting new patients |
Locations
5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644
6900 Forest Ave
Ste 110
Richmond, VA 23230
Phone (804) 893-8692
5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220
7229 Forest Ave
Ste 112
Richmond, VA 23226
Phone (804) 281-0275
Interoperability endpoints
- spatel1154537@direct.bsmhealth.org
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
- Pediatric Dentistry
- Richmond, VA
- NPI 1265706188
-
- Land Ambulance
- Richmond, VA
- NPI 1124772470
-
- Infectious Disease Physician
- Richmond, VA
- NPI 1063772143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1972734705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 SCHOFIELD DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231137331",
"telephone_number": "804-601-3139",
"fax_number": "804-451-5993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 SCHOFIELD DR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231137331",
"telephone_number": "804-601-3139",
"fax_number": "804-451-5993"
}
],
"practiceLocations": [
{
"address_1": "6900 Forest Ave",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232301701",
"country_code": "US",
"telephone_number": "804-893-8715",
"fax_number": "804-285-1292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5801 Bremo Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232261907",
"country_code": "US",
"telephone_number": "804-285-2011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SHITAL",
"middle_name": "N",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-28",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413587",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "VA",
"license": "0401413587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06778",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://midlothianpediatricdentist.com",
"affiliation": "N",
"endpointDescription": "MCD Website",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "305 Schofield Dr",
"city": "Midlothian",
"state": "VA",
"country_code": "US",
"postal_code": "231137331",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.