Organization Active NPI

Dhruvkumar Patel DDS PLLC

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1699400465
Registry record updated Sep 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DHRUVKUMAR PATEL DDS PLLC
Practice address
966 N Garden Ridge Blvd Ste 510
Lewisville, TX 75077-2876
Phone
(469) 240-5590
Fax
(469) 240-5591
NPI assigned
Jul 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2022

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

Authorized official

Name
Dr. Dhruvkumar Jitendra Patel, DDSNPI 1669736880
Title
President
Phone
(714) 404-5978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

966 N Garden Ridge Blvd Ste 510
Lewisville, TX 75077-2876

Mailing address

3316 Canyon Lake Dr
Little Elm, TX 75068-2791
Phone (714) 404-5978

Other names 1

  • Divine Dental Doing business as

National Provider Directory

National Provider Directory

Locations

966 N Garden Ridge Blvd
Ste 510
Lewisville, TX 75077
Phone (469) 240-5590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663459200000",
    "number": "1699400465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 CANYON LAKE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750682791",
            "telephone_number": "714-404-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 N GARDEN RIDGE BLVD STE 510",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750772876",
            "telephone_number": "469-240-5590",
            "fax_number": "469-240-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHRUVKUMAR PATEL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHRUVKUMAR",
        "authorized_official_middle_name": "JITENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-404-5978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; 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.