Individual provider Active NPI

Pankti Patel, D.D.S.

  • Dentist
  • Oak Point, TX
National Provider Identifier
1306286281
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29186 Issued in TX
Practice address
3032 FM 720 West
Oak Point, TX 75068
Phone
(469) 598-1023
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29186 TX Primary

Addresses

Primary practice location

3032 FM 720 West
Oak Point, TX 75068

Mailing address

3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781
Phone (972) 663-5314

Other practice location 1

3030 Lbj Fwy
Suite 1400
Dallas, TX 75234-7781
Phone (972) 663-5314

Other names 1

  • Pankti Sura Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.theelegantdentistry.com

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

LicenseStateTypeSpecialty
29186TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Point Dentistry PLLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

3032 W FM 720
Oak Point, TX 75068
Phone (469) 598-1023

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1306286281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY",
            "address_2": "SUITE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347781",
            "telephone_number": "972-663-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 FM 720 WEST",
            "city": "OAK POINT",
            "state": "TX",
            "postal_code": "75068",
            "telephone_number": "469-598-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Lbj Fwy",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752347781",
            "country_code": "US",
            "telephone_number": "972-663-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PANKTI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.theelegantdentistry.com",
            "affiliation": "N",
            "address_1": "3032 FM 720 West",
            "city": "Oak Point",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PANKTI",
            "last_name": "SURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Point, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.