Organization Active NPI

Mydental at Round Rock PLLC

Doing business as myDental

  • General Practice Dentistry
  • Round Rock, TX
National Provider Identifier
1184181257
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MYDENTAL AT ROUND ROCK PLLC
Doing business as
myDental
Practice address
1850 S a W Grimes Blvd Unit a-02
Round Rock, TX 78664-7424
Phone
(512) 675-0808
Fax
(512) 640-6262
NPI assigned
Feb 25, 2019
Last updated
Feb 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Dr. Jinal Patel, DDS
Title
Dentist
Phone
(512) 675-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1850 S a W Grimes Blvd Unit a-02
Round Rock, TX 78664-7424

Mailing address

1850 S a W Grimes Blvd Unit a-02
Round Rock, TX 78664-7424
Phone (512) 675-0808

Other names 1

  • myDental Doing business as

National Provider Directory

National Provider Directory

Locations

1850 S A W Grimes Blvd
Unit A2
Round Rock, TX 78664
Phone (512) 675-0808

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1184181257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S A W GRIMES BLVD UNIT A-02",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647424",
            "telephone_number": "512-675-0808",
            "fax_number": "512-640-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S A W GRIMES BLVD UNIT A-02",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647424",
            "telephone_number": "512-675-0808",
            "fax_number": "512-640-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDENTAL AT ROUND ROCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JINAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-675-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "myDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.