Individual provider Active NPI

Bhavin Patel, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • North Las Vegas, NV
National Provider Identifier
1558763151
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
LL-433-16 Issued in NV
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

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30482 TX
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
30482TXMDGeneral Practice Dentistry
LL-433-16NVMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.