Active NPI
Vicky Mahendra Patel, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1821607466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 36364
- Practice address
- 255 Northpoint Dr Ste 200
Houston, TX 77060-3269 - Phone
- (832) 300-8040
- NPI assigned
- Jul 29, 2020
- Last updated
- Jul 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 36364 | TX | Primary |
Addresses
Primary practice location
255 Northpoint Dr Ste 200
Houston, TX 77060-3269
Mailing address
5070 Klein Orchard Dr
Houston, TX 77066-2532
Phone (804) 928-1700
Other practice location 1
3915 W Davis St Ste 160
Conroe, TX 77304-1879
Phone (936) 760-2800
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
| License | State | Type | Specialty |
|---|---|---|---|
| 36364 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Conroe Dentistry, PC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1821607466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5070 KLEIN ORCHARD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770662532",
"telephone_number": "804-928-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 NORTHPOINT DR STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603269",
"telephone_number": "832-300-8040"
}
],
"practiceLocations": [
{
"address_1": "3915 W Davis St Ste 160",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773041879",
"country_code": "US",
"telephone_number": "936-760-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATEL",
"first_name": "VICKY",
"middle_name": "MAHENDRA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-29",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "36364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.