Active NPI
Shreya Patel, DDS
- General Practice Dentistry
- Norfolk, VA
National Provider Identifier
1992290431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401418604
- Practice address
- 220 W Brambleton Ave Ste 110
Norfolk, VA 23510-1571 - Phone
- (757) 583-1536
- NPI assigned
- Jun 27, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11269 | NC | |
| General Practice Dentistry | 1223G0001X | 0401418604 | VA | Primary |
Addresses
Primary practice location
220 W Brambleton Ave Ste 110
Norfolk, VA 23510-1571
Mailing address
220 W Brambleton Ave Ste 110
Norfolk, VA 23510-1571
Phone (912) 856-2193
Other practice location 1
7400 Granby St Ste D
Norfolk, VA 23505-3436
Phone (757) 583-1535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190816002122 | NC | Order and Referring Only - Dentist | 3779810569 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418604 | VA | MD | General Practice Dentistry |
| 11269 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CD Virginia Dental P.C. | 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": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1992290431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 W BRAMBLETON AVE STE 110",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101571",
"telephone_number": "912-856-2193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W BRAMBLETON AVE STE 110",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101571",
"telephone_number": "757-583-1536"
}
],
"practiceLocations": [
{
"address_1": "7400 Granby St Ste D",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235053436",
"country_code": "US",
"telephone_number": "757-583-1535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "SHREYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11269",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401418604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.