Active NPI
Alekhya Patagarla, DDS
- Dentist
- Wylie, TX
National Provider Identifier
1124514393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34388
- Practice address
- 2014 N Highway 78 Ste 150
Wylie, TX 75098-6091 - Phone
- (972) 961-1744
- Fax
- (972) 961-1745
- NPI assigned
- Jul 10, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34388 | TX | |
| Dentist | 122300000X | 34388 | TX | Primary |
Addresses
Primary practice location
2014 N Highway 78 Ste 150
Wylie, TX 75098-6091
Mailing address
2014 N Highway 78 Ste 150
Wylie, TX 75098-6091
Phone (972) 961-1744
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34388 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestwick Dentistry PLLC | General Practice | Current | 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.
-
- General Practice Dentistry
- McKinney, TX
- NPI 1215896709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1124514393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 N HIGHWAY 78 STE 150",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986091",
"telephone_number": "972-961-1744",
"fax_number": "972-961-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 N HIGHWAY 78 STE 150",
"city": "WYLIE",
"state": "TX",
"postal_code": "750986091",
"telephone_number": "972-961-1744",
"fax_number": "972-961-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATAGARLA",
"first_name": "ALEKHYA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34388",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.