Active NPI
Rahul Patel, D.M.D.
- Dentist
- Henderson, NV
National Provider Identifier
1063969152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6846
- Practice address
- 311 Grant Ridge Dr
Henderson, NV 89012-3158 - Phone
- (702) 806-3483
- NPI assigned
- Sep 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32697 | TX | |
| Dentist | 122300000X | 6846 | NV | Primary |
Addresses
Primary practice location
311 Grant Ridge Dr
Henderson, NV 89012-3158
Mailing address
2660 Windmill Pkwy
Henderson, NV 89074-3385
Phone (702) 309-0906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20190717001512 | FL | Order and Referring Only - Dentist | 3870828502 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32697 | TX | MD | Psychologist |
| 6846 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1063969152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2660 WINDMILL PKWY",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890743385",
"telephone_number": "702-309-0906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 GRANT RIDGE DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123158",
"telephone_number": "702-806-3483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAHUL",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-06",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "32697",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "6846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.