Individual provider Active NPI

Fenil Patel, DDS

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1811365695
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31257 Issued in TX
Practice address
906 N Fielder Rd Ste a
Arlington, TX 76012-3148
Phone
(817) 274-7108
Fax
(817) 274-4606
NPI assigned
Sep 9, 2015
Last updated
Aug 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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 31257 TX Primary

Addresses

Primary practice location

906 N Fielder Rd Ste a
Arlington, TX 76012-3148

Mailing address

906 N Fielder Rd Ste a
Arlington, TX 76012-3148
Phone (817) 274-7108

Other practice location 1

404 N Interstate 35 E Ste 118
Lancaster, TX 75146-1866
Phone (972) 223-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603000022 TX Order and Referring Only - DentistPractitioner - Dentist 6103116199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Family Dental, PLLC General Practice CurrentSince Aug 25, 2019 Accepting new patients

Locations

906 N Fielder Rd
Ste A
Arlington, TX 76012
Phone (817) 274-7108

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1811365695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 N FIELDER RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123148",
            "telephone_number": "817-274-7108",
            "fax_number": "817-274-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N FIELDER RD STE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760123148",
            "telephone_number": "817-274-7108",
            "fax_number": "817-274-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 N Interstate 35 E Ste 118",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "TX",
            "postal_code": "751461866",
            "country_code": "US",
            "telephone_number": "972-223-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "FENIL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.