Trisha Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34502 Issued in TX

Practice address

4541 Heritage Trace Pkwy Ste 1301
Fort Worth, TX 76244-8921

Phone

(912) 484-3405

NPI assigned

Aug 3, 2018

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vivid Dentistry PLLC

  dba Vosh Dental

  • Dental Clinic/Center
  • Grand Prairie, TX
  • NPI 1992399422
  NPD Authorized official

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1821576521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 TOLEDO DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 HERITAGE TRACE PKWY STE 1301",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448921",
            "telephone_number": "912-484-3405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 Amesbury Dr Apt 437",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752064890",
            "country_code": "US",
            "telephone_number": "912-484-3405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TRISHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shruti Devesh Patel
• Sonal R Patel, M.D.
• Sonam Kiritkumar Patel, O.D.
• Swetketukumar M Patel, NP-C
• Tajal Nalin Patel
• Vandana Patel
• Varsha Patel, RPH
• Vishal Chandrakant Patel, M.D.
• Yagnik Patel
• Muralidhar Pathikonda, M.D.

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.