Active NPI
Bhavin Patel, D.M.D
- Orthodontics and Dentofacial Orthopedics Dentistry
- North Las Vegas, NV
National Provider Identifier
1558763151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- LL-433-16
- Practice address
- 640 E Deer Springs Way Ste 180
North Las Vegas, NV 89086 - Phone
- (702) 399-3800
- NPI assigned
- Sep 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30482 | TX | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | LL-433-16 | NV | Primary |
Addresses
Primary practice location
640 E Deer Springs Way Ste 180
North Las Vegas, NV 89086
Mailing address
640 E Deer Springs Way Ste 180
North Las Vegas, NV 89086-1514
Phone (702) 399-3800
Other practice location 1
1250 E Pioneer Pkwy Ste 200
Arlington, TX 76010-6422
Phone (817) 265-6500
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 |
|---|---|---|---|
| 30482 | TX | MD | General Practice Dentistry |
| LL-433-16 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahrestani Deer Springs Modern Dentistry, PC | Multi-Specialty | Past | Accepting new patients |
| Pioneer Dental, P.a. | General Practice | 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 and National Provider Directory roles.
-
dba Deer Springs Modern Dentistry and Orthodontics
- Dentist
- North Las Vegas, NV
- NPI 1922351931
Multi-Specialty
-
dba Bear Creek Family Dentistry
- General Practice Dentistry
- Arlington, TX
- NPI 1649368473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1558763151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E DEER SPRINGS WAY STE 180",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890861514",
"telephone_number": "702-399-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E DEER SPRINGS WAY STE 180",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89086",
"telephone_number": "702-399-3800"
}
],
"practiceLocations": [
{
"address_1": "1250 E Pioneer Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760106422",
"country_code": "US",
"telephone_number": "817-265-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "BHAVIN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30482",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "LL-433-16",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.