Pushpa Patel, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

19638 Issued in TX

Practice address

17222 Red Oak Dr
Suite 104
Houston, TX 77090-2648

Phone

(281) 583-4600

Fax

(281) 586-7051

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1487709556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 RED OAK DR",
            "address_2": "SUITE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902648",
            "telephone_number": "281-583-4600",
            "fax_number": "281-586-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 RED OAK DR",
            "address_2": "SUITE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902648",
            "telephone_number": "281-583-4600",
            "fax_number": "281-586-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PUSHPA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "19638",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "19638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Purva Patel, LMFTA, LPCI
• Purvesh Rajendrabhai Patel, M.D
• Purvi Patel
• Purvi Patel, MD
• Purvi M Patel, NP
• Rachel Sisler Patel, NP
• Rachna Patel, FNP-BC
• Rahi Patel, MD
• Rahul Patel
• Raina Patel, MD

• Pediatric Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.