Individual provider Active NPI

Nishabahen Vipulkumar Patel, DDS

  • General Practice Dentistry
  • Sugar Land, TX
National Provider Identifier
1669811543
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29912 Issued in TX
Practice address
13020 Dairy Ashford Rd Ste 100
Sugar Land, TX 77478-3151
Phone
(281) 277-8571
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021032 MI
General Practice Dentistry 1223G0001X DN014692 GA
General Practice Dentistry 1223G0001X 29912 TX Primary

Addresses

Primary practice location

13020 Dairy Ashford Rd Ste 100
Sugar Land, TX 77478-3151

Mailing address

17027 Rydal Grove LN
Richmond, TX 77407-1929
Phone (586) 365-8437

Other practice location 1

6800 West Loop S Ste 560
Bellaire, TX 77401-4516
Phone (713) 839-7111

Other practice location 2

17027 Rydal Grove Ln
Richmond, TX 77407-1929
Phone (586) 365-8437

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
2901021032MIMDDentist
DN014692GAMDGeneral Practice Dentistry
29912TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Omkar DDS PLLC Dentist Current Accepting new patients
Om Krishna PLLC Dentist Current Accepting new patients
Bhim DDS PLLC Dentist Current Accepting new patients

Organizations & group practices 3

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669811543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17027 RYDAL GROVE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071929",
            "telephone_number": "586-365-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 DAIRY ASHFORD RD STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783151",
            "telephone_number": "281-277-8571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 West Loop S Ste 560",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014516",
            "country_code": "US",
            "telephone_number": "713-839-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17027 Rydal Grove Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774071929",
            "country_code": "US",
            "telephone_number": "586-365-8437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NISHABAHEN",
        "middle_name": "VIPULKUMAR",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021032",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014692",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.