Ashutosh Kiritkumar Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002625-15 Issued in WI

Practice address

5341 W Fond Du Lac Ave
Milwaukee, WI 53216-1365

Phone

(414) 871-0827

NPI assigned

Aug 3, 2021

Sex

Male

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

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.

• Familia Dental Mke Midtown LLC

  • Dental Clinic/Center
  • Milwakee, WI
  • NPI 1083283626
  NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1992479067",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "382 ALLARD BLVD SW",
            "city": "EDMONTON",
            "state": "ALBERTA",
            "postal_code": "T6W 3T7"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532161365",
            "telephone_number": "414-871-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ASHUTOSH",
        "middle_name": "KIRITKUMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002625-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aman Patel, PHARMD
• Amit Baldev Patel, D.O.
• Anisha A Patel, MD
• Anjna N Patel, APNP
• Ankur Dhimant Patel, D.D.S.
• Binita S Patel, PHARMD
• Devanshi Patel, DO
• Forum Patel, DO
• Gauri Goyal Patel, DDS
• Gina Patel, MD

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.