NPIMap

Organization Active NPI

Jayendra Patel DDS, PLLC Dba Ranchview Family Dentistry

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1124423942
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21725 Issued in TX
Legal business name
JAYENDRA PATEL DDS, PLLC DBA RANCHVIEW FAMILY DENTISTRY
Practice address
8300 N Macarthur Blvd
Suite 140
Irving, TX 75063
Phone
(972) 869-9090
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Jayendra Patel, DDSNPI 1013064856
Title
President
Phone
(972) 869-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21725 TX Primary

Addresses

Primary practice location

8300 N Macarthur Blvd
Suite 140
Irving, TX 75063

Mailing address

8300 N Macarthur Blvd
Suite 140
Irving, TX 75063
Phone (972) 869-9090

Other identifiers 1

IdentifierTypeStateIssuer
178292201MedicaidTX

National Provider Directory

National Provider Directory

Locations

8300 N MacArthur Blvd
Ste 140
Irving, TX 75063

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1124423942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 N MACARTHUR BLVD",
            "address_2": "SUITE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-869-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 N MACARTHUR BLVD",
            "address_2": "SUITE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-869-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYENDRA PATEL DDS, PLLC DBA RANCHVIEW FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAYENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-869-9090",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178292201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.