Organization Active NPI

Prestige Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1841060134
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PRESTIGE DENTAL PLLC
Practice address
12700 Midway Rd # 104
Dallas, TX 75244-6301
Phone
(214) 702-0163
NPI assigned
Jan 8, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Nilam Patel, DDSNPI 1750721650
Title
Owner
Phone
(267) 495-7393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

12700 Midway Rd # 104
Dallas, TX 75244-6301

Mailing address

12700 Midway Rd # 104
Dallas, TX 75244-6301
Phone (214) 702-0163

National Provider Directory

National Provider Directory

Locations

12700 Midway Rd
#104
Dallas, TX 75244
Phone (214) 702-0163

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1841060134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 MIDWAY RD # 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446301",
            "telephone_number": "214-702-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 MIDWAY RD # 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446301",
            "telephone_number": "214-702-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-495-7393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Jan 8, 2024; 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.