Active NPI
Jyotiben Gordhanbhai Gajera
- Dentist
- Irving, TX
National Provider Identifier
1639855679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41593
- Practice address
- 7423 Las Colinas Blvd Ste 101
Irving, TX 75063-7565 - Phone
- (469) 845-9855
- NPI assigned
- Jun 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41593 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
7423 Las Colinas Blvd Ste 101
Irving, TX 75063-7565
Mailing address
610 E Grubb Dr
Mesquite, TX 75149-2598
Phone (469) 999-3096
Other practice location 1
610 E Grubb Dr
Mesquite, TX 75149-2598
Phone (469) 999-3096
Other practice location 2
1629 Smirl Dr Ste 101
Heath, TX 75032-7624
Phone (972) 433-6500
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 |
|---|---|---|---|
| 41593 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citrus-03, PLLC | Past | Accepting new patients | |
| Mobo JV LLC | 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.
-
- Dental Clinic/Center
- Heath, TX
- NPI 1053179978
-
- Dental Clinic/Center
- Heath, TX
- NPI 1669113056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1639855679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E GRUBB DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751492598",
"telephone_number": "469-999-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7423 LAS COLINAS BLVD STE 101",
"city": "IRVING",
"state": "TX",
"postal_code": "750637565",
"telephone_number": "469-845-9855"
}
],
"practiceLocations": [
{
"address_1": "610 E Grubb Dr",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751492598",
"country_code": "US",
"telephone_number": "469-999-3096",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1629 Smirl Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Heath",
"state": "TX",
"postal_code": "750327624",
"country_code": "US",
"telephone_number": "972-433-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAJERA",
"first_name": "JYOTIBEN",
"middle_name": "GORDHANBHAI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41593",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.