Individual provider Active NPI

Niraj Kumar Patel, DDS

  • General Practice Dentistry
  • Cibolo, TX
National Provider Identifier
1023365004
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27951 Issued in TX
Practice address
4470 Green Valley Rd Ste 161
Cibolo, TX 78108-3064
Phone
(210) 797-7740
Fax
(210) 257-8440
NPI assigned
Aug 9, 2012
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 27951 TX Primary

Addresses

Primary practice location

4470 Green Valley Rd Ste 161
Cibolo, TX 78108-3064

Mailing address

4470 Green Valley Rd Ste 161
Cibolo, TX 78108-3064
Phone (210) 797-7740

Other practice location 1

7703 Floyd Curl Drive, MSC 7903
UT Health Science Center at San Antonio, Advanced Gener
San Antonio, TX 78229-3900
Phone (210) 567-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27951TXMDDental Hygienist

Interoperability endpoints

  • Direct secure messaging: npatel59836@direct.utmsa.com

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1023365004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 GREEN VALLEY RD STE 161",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083064",
            "telephone_number": "210-797-7740",
            "fax_number": "210-257-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 GREEN VALLEY RD STE 161",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083064",
            "telephone_number": "210-797-7740",
            "fax_number": "210-257-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Drive, MSC 7903",
            "address_2": "UT Health Science Center at San Antonio, Advanced Gener",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293900",
            "country_code": "US",
            "telephone_number": "210-567-3456",
            "fax_number": "210-567-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NIRAJ",
        "middle_name": "KUMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.