Java Dental of Melissa LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JAVA DENTAL OF MELISSA LLC

Practice address

2435 Sam Rayburn Hwy Ste 700
Melissa, TX 75454-2825

Phone

(469) 663-0214

NPI assigned

Jun 23, 2022

Last updated

Jun 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vishwam Patel, DDSNPI 1366928913

Title

Owner

Phone

(972) 363-7331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vishwam Pinakin Patel

  • General Practice Dentistry
  • Midlothian, TX
  • NPI 1366928913
  NPD Authorized official

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1396476800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 SAM RAYBURN HWY STE 700",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542825",
            "telephone_number": "469-663-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 SAM RAYBURN HWY STE 700",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542825",
            "telephone_number": "469-663-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVA DENTAL OF MELISSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VISHWAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-363-7331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Melissa, TX
• Providers in Melissa, 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 Jun 23, 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.