Organization Active NPI

Sandeep B. Patel, D.D.S., P.a.

  • Dentist
  • Austin, TX
National Provider Identifier
1215015292
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21274 Issued in TX
Legal business name
SANDEEP B. PATEL, D.D.S., P.A.
Practice address
411 Brazos St
Unit #206
Austin, TX 78701-3698
Phone
(512) 233-6200
Fax
(512) 233-6201
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Sandeep B Patel, D.D.S.
Title
President
Phone
(512) 233-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21274 TX Primary

Addresses

Primary practice location

411 Brazos St
Unit #206
Austin, TX 78701-3698

Mailing address

11215 S. Ih-35
Suite#116
Austin, TX 78747
Phone (512) 233-6200

Other names 1

  • Onion Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1215015292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 S. IH-35",
            "address_2": "SUITE#116",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78747",
            "telephone_number": "512-233-6200",
            "fax_number": "512-233-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 BRAZOS ST",
            "address_2": "UNIT #206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013698",
            "telephone_number": "512-233-6200",
            "fax_number": "512-233-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEEP B. PATEL, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-233-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onion Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.