Individual provider Active NPI

Tejash Patel, DMD

  • General Practice Dentistry
  • Seguin, TX
National Provider Identifier
1790126142
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29322 Issued in TX
Practice address
1417 E Walnut St Ste 100
Seguin, TX 78155-5183
Phone
(830) 396-2017
NPI assigned
Jul 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 29322 TX Primary

Addresses

Primary practice location

1417 E Walnut St Ste 100
Seguin, TX 78155-5183

Mailing address

414 E F M 351 Rd, #406
Beeville, TX 78102
Phone (248) 275-3289

Other practice location 1

414 E F M 351 Rd, #406
Beeville, TX 78102
Phone (248) 275-3289

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

LicenseStateTypeSpecialty
29322TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790126142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E F M 351 RD, #406",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "telephone_number": "248-275-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 E WALNUT ST STE 100",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555183",
            "telephone_number": "830-396-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 E F M 351 RD, #406",
            "address_purpose": "LOCATION",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "78102",
            "country_code": "US",
            "telephone_number": "248-275-3289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TEJASH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.