Individual provider Active NPI

Keshavi G Patel, D.D.S

  • Dentist
  • Kyle, TX
National Provider Identifier
1689040040
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31345 Issued in TX
Practice address
22510 Ih 35 Ste 104
Kyle, TX 78640
Phone
(512) 888-9340
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31345 TX Primary

Addresses

Primary practice location

22510 Ih 35 Ste 104
Kyle, TX 78640

Mailing address

7900 Aspen Highlands Dr
Austin, TX 78746-4962
Phone (732) 770-2996

Other practice location 1

3030 Lbj Fwy Ste 1400
Dallas, TX 75234-2766
Phone (972) 663-5353

Other practice location 2

3030 Lbj Fwy Ste 1400
Dallas, TX 75234-2766
Phone (972) 663-5353

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
31345TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kera Dental Clinics Past Accepting new patients
Keshavi Patel PLLC Past Accepting new patients

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1689040040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 ASPEN HIGHLANDS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464962",
            "telephone_number": "732-770-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22510 IH 35 STE 104",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "78640",
            "telephone_number": "512-888-9340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Lbj Fwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752342766",
            "country_code": "US",
            "telephone_number": "972-663-5353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Lbj Fwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752342766",
            "country_code": "US",
            "telephone_number": "972-663-5353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KESHAVI",
        "middle_name": "G",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.