Rupal Dave

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21554 Issued in TX

Practice address

900 S Main St Ste 360
Keller, TX 76248-7024

Phone

(817) 741-0045

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Dentistry for Life, PA

  • General Practice Dentistry
  • Keller, TX
  • NPI 1841652799
  NPD Authorized official

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1841207438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 360",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487004",
            "telephone_number": "817-741-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S MAIN ST STE 360",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487024",
            "telephone_number": "817-741-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "RUPAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Daly, LM, CPM
• Khaila Angelique Daniels
• Kelcie Dao
• Darshan P. Patel, DDS, PLLC
• Chinmay Dave
• David W. Kinnison (Kinnison Family Chiropractic)
• David W. Kinnison, DC, PC (Kinnison Family Chiropractic)
• Ashley Marie Davila
• Davis Managed Services, Inc. (BrightStar - Fort Worth)
• Onika N Davis, MSN, PMHNP-BC

• General Practice Dentistry in Keller, TX
• Providers in Keller, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.