Individual provider Active NPI

Tejas N Patel, DDS

  • General Practice Dentistry
  • Lakeway, TX
National Provider Identifier
1083838635
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20997 Issued in TX
Practice address
1213 Ranch Road 620 S
Suite 205
Lakeway, TX 78734-6340
Phone
(512) 263-8337
Fax
(512) 402-9558
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 20997 TX Primary

Addresses

Primary practice location

1213 Ranch Road 620 S
Suite 205
Lakeway, TX 78734-6340

Mailing address

1213 Ranch Road 620 S
Suite 205
Lakeway, TX 78734-6340
Phone (512) 263-8337

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
20997TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Cosmetics and General Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083838635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 RANCH ROAD 620 S",
            "address_2": "SUITE 205",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346340",
            "telephone_number": "512-263-8337",
            "fax_number": "512-402-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 RANCH ROAD 620 S",
            "address_2": "SUITE 205",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787346340",
            "telephone_number": "512-263-8337",
            "fax_number": "512-402-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJAS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.