Prathik Patel, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38819 Issued in TX

Practice address

1620 FM 646 Rd W Ste D
Dickinson, TX 77539-4580

Phone

(281) 332-0980

NPI assigned

Aug 2, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1235866179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 FM 646 RD W STE D",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 FM 646 RD W STE D",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394580",
            "telephone_number": "281-332-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRATHIK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryjane Okafor
• One Step Diagnostic VIII LP
• Chinwendu Onuorah
• Muriel Dawn Owens, D.C.
• Parkwood Ambulatory Center LLC
• Vipulkumar G. Patel, M. D.
• Sridevi Pavuluri, MD
• Peace in Cognitive Wellness PLLC
• Lara Pena, OT
• Bryce Penney, MS, LPC ASSOCIATE

• General Practice Dentistry in Dickinson, TX
• Providers in Dickinson, 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 Aug 2, 2022; 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.

Verify at the official NPI Registry.