Individual provider Active NPI

Dave Patel, D.M.D.

  • Endodontics
  • Houston, TX
National Provider Identifier
1689082786
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
31367 Issued in TX
Practice address
419 W Little York Rd
Houston, TX 77076-1342
Phone
(713) 352-3211
NPI assigned
Aug 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X LD00103 RI
Endodontics 1223E0200X 31367 TX Primary
Dentist 122300000X DN 21559 FL
Endodontics 1223E0200X D14038 MN

Addresses

Primary practice location

419 W Little York Rd
Houston, TX 77076-1342

Mailing address

419 W Little York Rd
Houston, TX 77076-1342
Phone (713) 352-3211

Other practice location 1

11161 Shadow Creek Pkwy Ste 225
Pearland, TX 77584-7286
Phone (281) 529-5580

Other practice location 2

3800 Southwest Fwy Ste 118
Houston, TX 77027-7617
Phone (832) 509-5504

Other practice location 3

22224 Northwest Fwy Ste E
Cypress, TX 77429-5768
Phone (281) 607-0956

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
DN 21559FLMDDentist
D14038MNMDEndodontist
31367TXMDEndodontist
LD00103RIMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1689082786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761342",
            "telephone_number": "713-352-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761342",
            "telephone_number": "713-352-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11161 Shadow Creek Pkwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847286",
            "country_code": "US",
            "telephone_number": "281-529-5580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Southwest Fwy Ste 118",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770277617",
            "country_code": "US",
            "telephone_number": "832-509-5504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22224 Northwest Fwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774295768",
            "country_code": "US",
            "telephone_number": "281-607-0956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DAVE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "LD00103",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "31367",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 21559",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D14038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.