Individual provider Active NPI

Ankur S Patel, DDS

  • Periodontics
  • Katy, TX
National Provider Identifier
1699103689
Registry record updated May 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
31855 Issued in TX
Practice address
2780 FM 1463 Rd Ste 203
Katy, TX 77494-7938
Phone
(312) 834-3368
NPI assigned
Oct 29, 2013
Last updated
May 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029431 IL
Periodontics 1223P0300X 31855 TX Primary

Addresses

Primary practice location

2780 FM 1463 Rd Ste 203
Katy, TX 77494-7938

Mailing address

2780 FM 1463 Rd Ste 203
Katy, TX 77494-7938

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001267 TX Order and Referring Only - DentistPractitioner - Dentist 4587942768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019029431ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
In-Office Dental Specialists, PLLC Current Accepting new patients

Locations

2780 FM 1463 Rd
Ste 203
Katy, TX 77494
Phone (312) 834-3368

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652486400000",
    "number": "1699103689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 FM 1463 RD STE 203",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 FM 1463 RD STE 203",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947938",
            "telephone_number": "312-834-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANKUR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-29",
        "last_updated": "2022-05-14",
        "certification_date": "2022-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029431",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "31855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.