Active NPI
Keyur Patel, DMD
- Dentist
- San Antonio, TX
National Provider Identifier
1508436734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37380
- Practice address
- 10910 Marbach Rd Ste 107
San Antonio, TX 78245-2089 - Phone
- (210) 742-2444
- NPI assigned
- Jun 29, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 37380 | TX | Primary |
Addresses
Primary practice location
10910 Marbach Rd Ste 107
San Antonio, TX 78245-2089
Mailing address
262 Windsor Dr
Bartlett, IL 60103-5181
Phone (609) 721-3844
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 |
|---|---|---|---|
| 37380 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1508436734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 WINDSOR DR",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601035181",
"telephone_number": "609-721-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10910 MARBACH RD STE 107",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782452089",
"telephone_number": "210-742-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KEYUR",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "37380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.