Active NPI
Karishma Patil, BDS, MSD
- Endodontics
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 36687
- Practice address
- 5925 Forest LN Ste 314
Dallas, TX 75230-2775 - Phone
- (469) 416-7084
- NPI assigned
- Nov 4, 2016
- Last updated
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 36687 | TX | Primary |
Addresses
Primary practice location
5925 Forest LN Ste 314
Dallas, TX 75230-2775
Mailing address
4880 N President George Bush Hwy Ste 102
Garland, TX 75040-2742
Phone (972) 496-0164
Other practice location 1
4880 N President George Bush Hwy Ste 102
Garland, TX 75040-2742
Phone (469) 416-7084
Other practice location 2
2840 Keller Springs Rd Ste 703
Carrollton, TX 75006-4874
Phone (214) 483-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36687 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Endodontic Specialists, PLLC | Endodontics | Current | Accepting new patients |
| Texasendodonticsp.C. | Endodontics | Past | Accepting new patients |
| The Endodontic Specialists, PLLC | Endodontics | Past | Accepting new patients |
| Modern Texas Dental Specialties | Past | Accepting new patients |
Locations
4880 N President George Bush Hwy
Ste 102
Garland, TX 75040
Phone (469) 416-7084
Organizations & group practices 4
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.
-
dba Firewheel Center of Dental Specialties
- Endodontics
- Garland, TX
- NPI 1134409584
-
dba Texas Endodontics
- Dental Clinic/Center
- Carrollton, TX
- NPI 1942569561
-
- Endodontics
- Carrollton, TX
- NPI 1568503720
-
- Endodontics
- Garland, TX
- NPI 1720543101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1265984470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4880 N PRESIDENT GEORGE BUSH HWY STE 102",
"city": "GARLAND",
"state": "TX",
"postal_code": "750402742",
"telephone_number": "972-496-0164",
"fax_number": "972-295-9323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 FOREST LN STE 314",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302775",
"telephone_number": "469-416-7084"
}
],
"practiceLocations": [
{
"address_1": "4880 N President George Bush Hwy Ste 102",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750402742",
"country_code": "US",
"telephone_number": "469-416-7084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2840 Keller Springs Rd Ste 703",
"address_purpose": "LOCATION",
"city": "Carrollton",
"state": "TX",
"postal_code": "750064874",
"country_code": "US",
"telephone_number": "214-483-3660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATIL",
"first_name": "KARISHMA",
"name_prefix": "Dr.",
"credential": "BDS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "36687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.