Organization Active NPI

Just Kids Dental

  • Pediatric Dentistry
  • Dallas, TX
National Provider Identifier
1790117646
Registry record updated Sep 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20147 Issued in TX
Legal business name
JUST KIDS DENTAL
Practice address
9669 N Central Expy Ste 290
Dallas, TX 75231-5054
Phone
(972) 296-1835
NPI assigned
Aug 2, 2013
Last updated
Sep 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2014

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

Authorized official

Name
Yogesh T Patel, DDSNPI 1578571543
Title
Owner
Phone
(214) 342-0425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 20147 TX Primary

Addresses

Primary practice location

9669 N Central Expy Ste 290
Dallas, TX 75231-5054

Mailing address

9669 N Central Expy Ste 290
Dallas, TX 75231-5054

National Provider Directory

National Provider Directory
Tax ID family
Just Kids Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9669 N Central Expy
Ste 290
Dallas, TX 75231
Phone (214) 416-8700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1790117646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9669 N CENTRAL EXPY STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 N CENTRAL EXPY STE 290",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315054",
            "telephone_number": "972-296-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KIDS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-342-0425",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.