Active NPI
Colby John Patton, DMD
- Dentist
- Odessa, TX
National Provider Identifier
1205511714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41913
- Practice address
- 6109 E Highway 191
Odessa, TX 79762-5348 - Phone
- (432) 272-8487
- NPI assigned
- Jun 21, 2023
- Last updated
- Oct 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7833 | NV | |
| Dentist | 122300000X | 41913 | TX | Primary |
Addresses
Primary practice location
6109 E Highway 191
Odessa, TX 79762-5348
Mailing address
3601 E Gillespie LN
Odessa, TX 79765-8612
Phone (775) 934-3802
Other practice location 1
4400 N Midland Dr Ste 702
Midland, TX 79707-3456
Phone (432) 699-4811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240129002406 | NV | Order and Referring Only - Dentist | 7618320433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shingala Dental PLLC | Single Specialty | Current | Accepting new patients |
Locations
6109 E Highway 191
Odessa, TX 79762
Phone (432) 272-8487
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1205511714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 E GILLESPIE LN",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658612",
"telephone_number": "775-934-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6109 E HIGHWAY 191",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625348",
"telephone_number": "432-272-8487"
}
],
"practiceLocations": [
{
"address_1": "4400 N Midland Dr Ste 702",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797073456",
"country_code": "US",
"telephone_number": "432-699-4811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTON",
"first_name": "COLBY",
"middle_name": "JOHN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NV",
"license": "7833",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.