Individual provider Active NPI

Jayendra B Patel, D.D.S.

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1013064856
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21725 Issued in TX
Practice address
8600 N Macarthur Blvd Ste 140
Irving, TX 75063-3198
Phone
(972) 869-9090
Fax
(972) 869-9096
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21725 TX Primary

Addresses

Primary practice location

8600 N Macarthur Blvd Ste 140
Irving, TX 75063-3198

Mailing address

8600 N Macarthur Blvd Ste 140
Irving, TX 75063-3198
Phone (972) 869-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 29, 2015 through Jun 29, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21725TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ranchview Family Dentistry, P.a. General Practice Past Accepting new patients
Jayendra Patel DDS, PLLC Dba Ranchview Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 2

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013064856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 N MACARTHUR BLVD STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633198",
            "telephone_number": "972-869-9090",
            "fax_number": "972-869-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N MACARTHUR BLVD STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633198",
            "telephone_number": "972-869-9090",
            "fax_number": "972-869-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYENDRA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.