Jainisha R Patel, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010608 Issued in CT

Practice address

2150 N Josey LN Ste 306
Carrollton, TX 75006-3000

Phone

(989) 858-6964

NPI assigned

Aug 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1174803480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N JOSEY LN STE 306",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063000",
            "telephone_number": "989-858-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N JOSEY LN STE 306",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063000",
            "telephone_number": "989-858-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAINISHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "infocarrollton@myidealdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2150 N Josey Ln Ste 306",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750063000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Pasquale
• Amit Mahesh Patel, D.D.S., M.S.D.
• Anita Dhirubhai Patel, D.O
• Bharat Patel
• Harshili Patel
• Kamaxi Patel, DDS
• Mona Patel, RPH
• Neal Patel
• Paras Bharatkumar Patel, D.D.S.
• Priya A Patel

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

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

Verify at the official NPI Registry.