Active NPI
Rajan Patel, DMD
- Dentist
- Dallas, TX
National Provider Identifier
1831785625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36855
- Practice address
- 10325 Lake June Rd Ste 700
Dallas, TX 75217-5320 - Phone
- (469) 533-4200
- NPI assigned
- Dec 15, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 36855 | TX | Primary |
Addresses
Primary practice location
10325 Lake June Rd Ste 700
Dallas, TX 75217-5320
Mailing address
5200 Classen Cir
Oklahoma City, OK 73118-4428
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 |
|---|---|---|---|
| 36855 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1831785625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 CLASSEN CIR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10325 LAKE JUNE RD STE 700",
"city": "DALLAS",
"state": "TX",
"postal_code": "752175320",
"telephone_number": "469-533-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RAJAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-15",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "36855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.