DR. JESSICA KHOSLA PATEL DDS
NPI 1689861833
Dentist in Charlotte, NC

Active since October 02, 2007Opted out of Medicare · through Dec 23, 2027
135 S. SHARON AMITY ROAD, SUITE 204, CHARLOTTE, NC 28211(704) 365-2765 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jessica Khosla Patel Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSICA KHOSLA PATEL DDS (NPI 1689861833) is an individual dentist in Charlotte, North Carolina, licensed in North Carolina (8326) and active in the NPI registry since October 2007. She has opted out of Medicare through December 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689861833
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JESSICA KHOSLA PATELCredential: DDS
Location Address135 S. SHARON AMITY ROAD, SUITE 204Charlotte, NC 28211
Mailing Address135 S Sharon Amity Rd, Suite 204Charlotte, NC 28211-2842 · (704) 365-2765
Sole ProprietorNo
Enumeration DateOctober 2, 2007
Last NPPES UpdateSeptember 20, 2013
NPI 1689861833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in NC · 8326
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

135 S. SHARON AMITY ROAD, Charlotte, NC 28211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jessica Khosla Patel Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 23, 2015 through December 23, 2027.

Opt-Out Effective DateDecember 23, 2015
Opt-Out In Effect ThroughDecember 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Patel's NPI number?

The NPI number for Jessica Patel is 1689861833. It was assigned to this individual provider in the NPPES registry on October 2, 2007.

Where is Jessica Patel located?

Jessica Patel practices at 135 S. Sharon Amity Road Suite 204, Charlotte, NC 28211. The listed phone number is (704) 365-2765.

What is Jessica Patel's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Patel enrolled in Medicare?

No. Jessica Patel has opted out of Medicare through December 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jessica Patel was last updated on September 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.