Individual provider Active NPI

Darshankumar Patel, DDS

  • Dentist
  • Balch Springs, TX
National Provider Identifier
1811329931
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28914 Issued in TX
Practice address
11203 Lake June Rd Suite 120
Balch Springs, TX 75160-2303
Phone
(972) 752-6210
Fax
(972) 752-6210
NPI assigned
Jul 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28914 TX Primary

Addresses

Primary practice location

11203 Lake June Rd Suite 120
Balch Springs, TX 75160-2303

Mailing address

11203 Lake June Rd Ste 120
Balch Springs, TX 75180-1219
Phone (972) 752-6210

Other identifiers 1

IdentifierTypeStateIssuer
322100403MedicaidTX

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
28914TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
J&D Dental Solutions Dentist Current Accepting new patients
JD Garland Dental PLLC Dentist CurrentSince Jun 5, 2022 Accepting new patients
JD Mesquite Dental PLLC Dentist Past Accepting new patients

Locations

11203 Lake June Rd
Ste 120
Balch Springs, TX 75180
Phone (972) 752-6210

930 W Centerville Rd
Ste A
Garland, TX 75041
Phone (972) 752-6210

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1811329931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 LAKE JUNE RD STE 120",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751801219",
            "telephone_number": "972-752-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 LAKE JUNE RD SUITE 120",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "751602303",
            "telephone_number": "972-752-6210",
            "fax_number": "972-752-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "DARSHANKUMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322100403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Balch Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.