Individual provider Active NPI

Karishnee Rakesh Patel, DMD

  • Dentist
  • Redway, CA
National Provider Identifier
1992690903
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112598 Issued in CA
Practice address
101 West Coast Rd
Redway, CA 95560
Phone
(707) 923-2783
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10000858 MA
Dentist 122300000X 112598 CA Primary

Addresses

Primary practice location

101 West Coast Rd
Redway, CA 95560

Mailing address

PO Box 769
Redway, CA 95560-0769
Phone (707) 923-2783

Other practice location 1

217 Briceland Thorn Rd
Redway, CA 95560
Phone (707) 923-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320001283 CA Practitioner - Dentist 9032693759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Rutgers School of Dental Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 National Dr
Suite 135
Sacramento, CA 95834-1947

PO Box
Suite 769
Redway, CA 95560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10000858MAMDGeneral Practice Dentistry

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": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1992690903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "955600769",
            "telephone_number": "707-923-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WEST COAST RD",
            "city": "REDWAY",
            "state": "CA",
            "postal_code": "95560",
            "telephone_number": "707-923-2783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Briceland Thorn Rd",
            "address_purpose": "LOCATION",
            "city": "Redway",
            "state": "CA",
            "postal_code": "95560",
            "country_code": "US",
            "telephone_number": "707-923-2783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KARISHNEE",
        "middle_name": "RAKESH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000858",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redway, CA

Sources for this page

Verify at the official NPI Registry.