Active NPI
Manshi Harshad Patel, DDS
- General Practice Dentistry
- Fort Worth, TX
National Provider Identifier
1023365905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28063
- Practice address
- 9200 White Settlement Rd
Saddle Brook Dental Care
Fort Worth, TX 76108-2028 - Phone
- (817) 246-2721
- Fax
- (817) 246-0429
- NPI assigned
- Aug 9, 2012
- Last updated
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28063 | TX | Primary |
Addresses
Primary practice location
9200 White Settlement Rd
Saddle Brook Dental Care
Fort Worth, TX 76108-2028
Mailing address
PO Box 860036
Minneapolis, MN 55486-0036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160226000596 | TX | Order and Referring Only - Dentist | 5698070712 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28063 | TX | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S2 Dental | Current | Accepting new patients | |
| Network Provider Associates, P.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": "1456185600000",
"number": "1023365905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860036",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 WHITE SETTLEMENT RD",
"address_2": "SADDLE BROOK DENTAL CARE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761082028",
"telephone_number": "817-246-2721",
"fax_number": "817-246-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MANSHI",
"middle_name": "HARSHAD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.