Individual provider Active NPI

Jyotiben Gordhanbhai Gajera

  • Dentist
  • Irving, TX
National Provider Identifier
1639855679
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41593 Issued in TX
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
41593TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus-03, PLLC PastSince Mar 12, 2024 Accepting new patients
Mobo JV LLC PastSince Apr 1, 2022 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": "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.

Verify at the official NPI Registry.