Individual provider Active NPI

Rushabh Jayprakash Doshi, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Arlington, TX
National Provider Identifier
1134483902
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30885 Issued in TX
Practice address
4010 N Collins St Ste 104
Arlington, TX 76005-4520
Phone
(682) 563-5663
NPI assigned
Jun 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30885 TX Primary
Dentist 122300000X 30885 TX

Addresses

Primary practice location

4010 N Collins St Ste 104
Arlington, TX 76005-4520

Mailing address

2600 Laurel Valley LN
Arlington, TX 76006-4018
Phone (201) 920-1917

Other practice location 1

2932 N Belt Line Rd
Irving, TX 75062-5247
Phone (972) 793-0927

Other practice location 2

3550 E Broad St Ste 112
Mansfield, TX 76063-6893
Phone (682) 888-0488

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214000890 TX Order and Referring Only - DentistPractitioner - Dentist 3971885609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30885TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
All About Smiles PLLC CurrentSince Dec 22, 2020 Accepting new patients
Kreating Perfect Smiles PLLC Dentist CurrentSince Dec 22, 2020 Accepting new patients

Locations

2932 N Belt Line Rd
Irving, TX 75062
Phone (201) 920-1917

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1134483902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAUREL VALLEY LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760064018",
            "telephone_number": "201-920-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N COLLINS ST STE 104",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760054520",
            "telephone_number": "682-563-5663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2932 N Belt Line Rd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750625247",
            "country_code": "US",
            "telephone_number": "972-793-0927",
            "fax_number": "972-755-4907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 E Broad St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760636893",
            "country_code": "US",
            "telephone_number": "682-888-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSHI",
        "first_name": "RUSHABH",
        "middle_name": "JAYPRAKASH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30885",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.