Jayesh Surendra Patel, B.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401410150 Issued in VA

Practice address

4210 Fairfax Corner West Ave
Suite 230
Fairfax, VA 22030-8619

Phone

(703) 361-1136

Fax

(703) 631-1337

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720058217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21487 DOWNING CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475812",
            "telephone_number": "703-724-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 FAIRFAX CORNER WEST AVE",
            "address_2": "SUITE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308619",
            "telephone_number": "703-361-1136",
            "fax_number": "703-631-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JAYESH",
        "middle_name": "SURENDRA",
        "name_prefix": "Dr.",
        "credential": "B.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401410150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akash Patel
• Avani Patel, BCBA, LBA
• Bharati Patel, LPC
• Bhavisha A. Patel, M.D.
• Hiral R Patel, DO
• Jessica Patel, NP-C
• Kinjal Mukeh Patel, D.D.S.
• Kinjal Ramesh Patel, M.D.
• Melissa Patel, CRNA
• Nandini D Patel, MD

• Endodontics in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.