Active NPI
Dhruvkumar Jitendrabhai Patel, D.D.S.
- General Practice Dentistry
- Lewisville, TX
National Provider Identifier
1669736880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30597
- Practice address
- 966 N Garden Ridge Blvd Ste 510
Lewisville, TX 75077-2876 - Phone
- (469) 240-5590
- Fax
- (469) 240-5591
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30597 | TX | Primary |
| Dentist | 122300000X | 30597 | TX |
Addresses
Primary practice location
966 N Garden Ridge Blvd Ste 510
Lewisville, TX 75077-2876
Mailing address
3316 Canyon Lake Dr
Little Elm, TX 75068-2791
Phone (714) 404-5978
Other names 1
- Dhruvkumar Jitendra Patel
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 |
|---|---|---|---|
| 30597 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhruvkumar Patel DDS PLLC | Dentist | Current | Accepting new patients |
| Vidya Suri DDS PA | General Practice | Past | Accepting new patients |
Locations
966 N Garden Ridge Blvd
Ste 510
Lewisville, TX 75077
Phone (469) 240-5590
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": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1669736880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3316 CANYON LAKE DR",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750682791",
"telephone_number": "714-404-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 N GARDEN RIDGE BLVD STE 510",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772876",
"telephone_number": "469-240-5590",
"fax_number": "469-240-5591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DHRUVKUMAR",
"middle_name": "JITENDRABHAI",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30597",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30597",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DHRUVKUMAR",
"last_name": "PATEL",
"middle_name": "JITENDRA",
"credential": "D.D.S.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.