Individual provider Active NPI

Supriya Girishkumar Patel, DDS

  • Dentist
  • Cedar Park, TX
National Provider Identifier
1659724326
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31032 Issued in TX
Practice address
920 N Vista Ridge Blvd
Suite #700
Cedar Park, TX 78613-7637
Phone
(512) 402-7811
Fax
(512) 777-4076
NPI assigned
Jul 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31032 TX Primary

Addresses

Primary practice location

920 N Vista Ridge Blvd
Suite #700
Cedar Park, TX 78613-7637

Mailing address

920 N Vista Ridge Blvd
Suite #700
Cedar Park, TX 78613-7637
Phone (512) 402-7811

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
I20200819000589 TX Practitioner - Dentist 8426474636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

5920 W William Cannon Dr
BLDG 6 Suite 210
Austin, TX 78749-1902
Phone (512) 215-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31032TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Austin Treatment PLLC CurrentSince Jun 2, 2020 Accepting new patients
Sleep Better Austin Treatment, PLLC Dentist CurrentSince Jun 2, 2020 Accepting new patients
Sleep Better Austin Treatment PLLC Dentist Past Accepting new patients
Sleep Better Austin Treatment PLLC Dentist Past Accepting new patients
Sleep Better Austin Treatment PLLC Dentist Past Accepting new patients

Locations

4009 Banister Ln
Ste 370
Austin, TX 78704
Phone 5122154350402

5920 W William Cannon Dr
Bldg 6
Austin, TX 78749
Phone (512) 336-8909

1600 W 38th St
Ste 407
Austin, TX 78731
Phone (512) 722-6075

920 N Vista Ridge Blvd
Ste 700
Cedar Park, TX 78613
Phone 5122154350402

Organizations & group practices 5

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1659724326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD",
            "address_2": "SUITE #700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "512-402-7811",
            "fax_number": "512-777-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N VISTA RIDGE BLVD",
            "address_2": "SUITE #700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137637",
            "telephone_number": "512-402-7811",
            "fax_number": "512-777-4076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SUPRIYA",
        "middle_name": "GIRISHKUMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.