DR. TINA PATEL (NPI# 1063655827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063655827 |
| Entity Type | Individual |
| Full Name | DR. TINA PATEL |
| Practice Address |
200 E Ponce De Leon Ave Decatur GA 30030-3466 |
| Mailing Address |
325 E Paces Ferry Rd Ne 1102 Atlanta GA 30305-5709 |
| Practice Telephone | 6788362113 |
| Mailing Telephone | 4042930564 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2010-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN013835 | GA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0024271 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919555 | Tina Patel | Pharmacist | 424 George Clauss Blvd, Severn, MD 21144-1300 | 2019-09-03 |
| 1831630763 | Tina Patel | Dentist | 11501 S 4000 W Ste 101, South Jordan, UT 84009 | 2017-03-10 |
| 1467780445 | Tina Rosylin Patel | Physician Assistant | 7000 Stonewood Dr., Ste. 151, Wexford, PA 15090-7376 | 2009-12-02 |
| 1841810207 | Tina Patel | Pharmacist | 1763 Santa Rita Rd, Pleasanton, CA 94566-5657 | 2020-04-25 |
| 1528472271 | Tina N Patel | Pharmacist | 835 Fairview Ave, Apt 6, Arcadia, CA 91007-6655 | 2014-06-19 |
| 1578902334 | Tina Indravadan Patel | Pharmacist | 1985 Zonal Ave, Los Angeles, CA 90089-5305 | 2013-06-14 |
| 1760750681 | Tina Patel | Pharmacist | 2931 S Fish Hatchery Rd, Fitchburg, WI 53711-6499 | 2011-12-06 |
| 1174702294 | Tina Shantubhai Patel | Optometrist | 631 N Broadway, Los Angeles, CA 90012-2801 | 2007-10-25 |
| 1053437566 | Tina Patel | Physical Therapist | 4451 Parliament Pl, Lanham, MD 20706-1843 | 2007-03-22 |
| Street Address |
200 E PONCE DE LEON AVE |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-3466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457318503 | Matthew Walter Marchal | Family Medicine | 200 E Ponce De Leon Ave, Suite 110, Decatur, GA 30030-3466 | 2006-05-01 |
| 1801224662 | Christine Elizabeth Lee | Dentist | 200 E Ponce De Leon Ave, #300, Decatur, GA 30030-3466 | 2013-10-14 |
| 1992130280 | Nisha Patel | Dentist | 200 E Ponce De Leon Ave, Decatur, GA 30030-3466 | 2013-09-05 |
| 1043528193 | Jessica Lee | Dentist | 200 E Ponce De Leon Ave, Suite 300, Decatur, GA 30030-3466 | 2010-09-22 |
| 1215164124 | Jennifer Dawn Okhiria | Dentist | 200 E Ponce De Leon Ave, Decatur, GA 30030 | 2009-06-18 |
| 1457512428 | Katina Robertson Murray | Family Medicine | 200 E Ponce De Leon Ave, Suite 110, Decatur, GA 30030-3466 | 2008-06-22 |
| 1043488877 | Christina Berry Knox | Physician Assistant | 200 E Ponce De Leon Ave, Decatur, GA 30030-3466 | 2008-02-14 |
| 1831257120 | Gillian C Jones | Dentist | 200 E Ponce De Leon Ave, Ste 300, Decatur, GA 30030-3469 | 2006-12-05 |
| 1629088034 | Robert Alan Monett | Family Medicine | 200 E Ponce De Leon Ave, Suite 110, Decatur, GA 30030-3404 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033608971 | John Anderson Clinebell | Dentist | 3732 Lavista Rd, Decatur, GA 30033-1006 | 2018-05-07 |
| 1013418201 | Clark Clayton Browne Jr. | Dentist | 1815 Somerville Rd Se, Decatur, AL 35601-5015 | 2018-02-23 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1306969514 | Lew B. Sample | Dentist | 2014 Danville Park Dr Sw, Decatur, AL 35603-1832 | 2007-04-10 |
| 1396808218 | John A. Clinebell, D.d.s., M.s., P.C. | Dentist | 3744 Lavista Rd, Suite A, Decatur, GA 30033-1006 | 2006-12-19 |
| 1023189206 | Mary Lynn Crews | Dentist | 1989 N Williamsburg Dr, Suite A, Decatur, GA 30033-3509 | 2006-11-10 |
| 1316028244 | Penny Lee Taylor | Dentist | 2514 Danville Rd Sw, Decatur, AL 35603-4213 | 2006-10-18 |
| 1013098045 | Catherine E. Cavanaugh | Dentist | 1353 E Mound Rd Ste 203, Decatur, IL 62526-3680 | 2006-10-18 |
| 1104912237 | Daniel C. Mallory | Dentist | 2250 South Fm 51, Suite 800, Decatur, TX 76234-3771 | 2006-10-05 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.