Active NPI
Shilpa Patel, DDS
- Dentist
- Rockwall, TX
National Provider Identifier
1679929863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30889
- Practice address
- 2306 Greencrest Bulevard
Rockwall, TX 75087-0000 - Phone
- (469) 740-4694
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30889 | TX | Primary |
Addresses
Primary practice location
2306 Greencrest Bulevard
Rockwall, TX 75087-0000
Mailing address
15103 Dublin LN
Frisco, TX 75035-0258
Phone (469) 740-4694
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160920000837 | TX | Order and Referring Only - Dentist | 9638466683 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30889 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1679929863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15103 DUBLIN LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350258",
"telephone_number": "469-740-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 GREENCREST BULEVARD",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750870000",
"telephone_number": "469-740-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHILPA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "30889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.