Active NPI
Jaymin Jayantibhai Patel, BDS
- Endodontics
- Forney, TX
National Provider Identifier
1699323618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 35700
- Practice address
- 763 E US Highway 80 Ste 210
Forney, TX 75126-8681 - Phone
- (972) 268-8868
- NPI assigned
- Sep 3, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 35700 | TX | Primary |
Addresses
Primary practice location
763 E US Highway 80 Ste 210
Forney, TX 75126-8681
Mailing address
4030 N Central Expy Apt 342
Dallas, TX 75204-3250
Phone (213) 327-7876
Other practice location 1
3880 Hulen St Ste 310
Fort Worth, TX 76107-7274
Phone (817) 737-7668
Other practice location 2
1011 E Ennis Ave Ste A-1
Ennis, TX 75119-4351
Phone (469) 212-1707
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35700 | TX | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essential Endodontics PA | Endodontics | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Endodontics
- Fort Worth, TX
- NPI 1831756576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1699323618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 N CENTRAL EXPY APT 342",
"city": "DALLAS",
"state": "TX",
"postal_code": "752043250",
"telephone_number": "213-327-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 E US HIGHWAY 80 STE 210",
"city": "FORNEY",
"state": "TX",
"postal_code": "751268681",
"telephone_number": "972-268-8868"
}
],
"practiceLocations": [
{
"address_1": "3880 Hulen St Ste 310",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761077274",
"country_code": "US",
"telephone_number": "817-737-7668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 E Ennis Ave Ste A-1",
"address_purpose": "LOCATION",
"city": "Ennis",
"state": "TX",
"postal_code": "751194351",
"country_code": "US",
"telephone_number": "469-212-1707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "JAYMIN",
"middle_name": "JAYANTIBHAI",
"credential": "BDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "35700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.