Organization Active NPI

Mydental

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1285009522
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30189 Issued in TX
Legal business name
MYDENTAL
Practice address
13000 N Ih 35
Suite 206
Austin, TX 78753-1030
Phone
(512) 815-2524
NPI assigned
Dec 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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
(408) 239-7266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30189 TX Primary

Addresses

Primary practice location

13000 N Ih 35
Suite 206
Austin, TX 78753-1030

Mailing address

13000 N Ih 35 Ste 206
Austin, TX 78753-1030
Phone (512) 815-2524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1285009522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 N IH 35 STE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531030",
            "telephone_number": "512-815-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 N IH 35",
            "address_2": "SUITE 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531030",
            "telephone_number": "512-815-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-12",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JINAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-239-7266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 15, 2016; 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.