Active NPI
Sujalkumar R Patel, DDS
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1154761393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 29540
- Practice address
- 12835 Preston Rd Ste 217
Dallas, TX 75230-1451 - Phone
- (972) 629-9339
- Fax
- (972) 629-9838
- NPI assigned
- Jul 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 29540 | TX | Primary |
| Dentist | 122300000X | DS039642 | PA | |
| Dentist | 122300000X | 29540 | TX |
Addresses
Primary practice location
12835 Preston Rd Ste 217
Dallas, TX 75230-1451
Mailing address
12835 Preston Rd Ste 217
Dallas, TX 75230-1451
Phone (972) 629-9339
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 |
|---|---|---|---|
| DS039642 | PA | MD | Dentist |
| 29540 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhwarkadhish PLLC | General Practice | Current | Accepting new patients |
Locations
12835 Preston Rd
Ste 217
Dallas, TX 75230
Phone (972) 629-9339
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
- Dallas, TX
- NPI 1114497401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1154761393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12835 PRESTON RD STE 217",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301451",
"telephone_number": "972-629-9339",
"fax_number": "972-629-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12835 PRESTON RD STE 217",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301451",
"telephone_number": "972-629-9339",
"fax_number": "972-629-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SUJALKUMAR",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-02",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "29540",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039642",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29540",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.