Active NPI
Dimple Patel
- Pharmacist
- Dallas, TX
National Provider Identifier
1467885194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53759
- Practice address
- 11700 Preston Rd
Ste 703
Dallas, TX 75230-6112 - Phone
- (214) 750-4502
- NPI assigned
- Aug 16, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53759 | TX | Primary |
Addresses
Primary practice location
11700 Preston Rd
Ste 703
Dallas, TX 75230-6112
Mailing address
4411 Bowser Ave
Apt 209
Dallas, TX 75219-2104
Phone (713) 825-1082
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 |
|---|---|---|---|
| 53759 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376611200000",
"number": "1467885194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 BOWSER AVE",
"address_2": "APT 209",
"city": "DALLAS",
"state": "TX",
"postal_code": "752192104",
"telephone_number": "713-825-1082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 PRESTON RD",
"address_2": "STE 703",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306112",
"telephone_number": "214-750-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DIMPLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-16",
"last_updated": "2013-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53759",
"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 Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.