Individual provider Active NPI

Jayesh S. Patel, DDS

  • General Practice Dentistry
  • Waco, TX
National Provider Identifier
1659463933
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20615 Issued in TX
Practice address
2511 Ambassador Dr
Waco, TX 76712-8944
Phone
(254) 741-9324
Fax
(254) 752-2444
NPI assigned
Sep 28, 2006
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 20615 TX
General Practice Dentistry 1223G0001X 20615 TX Primary

Addresses

Primary practice location

2511 Ambassador Dr
Waco, TX 76712-8944

Mailing address

2511 Ambassador Dr
Waco, TX 76712-8944
Phone (254) 741-9324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221002810 TX Order and Referring Only - DentistPractitioner - Dentist 0143521963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20615TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jayesh S. Patel, DDS, PA General Practice CurrentSince Apr 14, 2024 Accepting new patients

Locations

1522 S New Rd
Waco, TX 76711
Phone (254) 224-6810

2511 Ambassador Dr
Waco, TX 76712
Phone (254) 741-9324

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1659463933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128944",
            "telephone_number": "254-741-9324",
            "fax_number": "254-752-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128944",
            "telephone_number": "254-741-9324",
            "fax_number": "254-752-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYESH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20615",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.