Individual provider Active NPI

Rachna Dhirubhai Patel, D.D.S

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1841459393
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24001 Issued in TX
Practice address
1927 Faithon P Lucas Sr Blvd
Suite 120
Mesquite, TX 75181-1696
Phone
(469) 341-3892
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24001 TX Primary

Addresses

Primary practice location

1927 Faithon P Lucas Sr Blvd
Suite 120
Mesquite, TX 75181-1696

Mailing address

1927 Faithon P Lucas Sr Blvd
Suite 120
Mesquite, TX 75181-1696
Phone (469) 341-3892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150728004890 CA Order and Referring Only - DentistPractitioner - Dentist 9830403328
I20160601001352 TX Order and Referring Only - DentistPractitioner - Dentist 9830403328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1841459393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 FAITHON P LUCAS SR BLVD",
            "address_2": "SUITE 120",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811696",
            "telephone_number": "469-341-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 FAITHON P LUCAS SR BLVD",
            "address_2": "SUITE 120",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751811696",
            "telephone_number": "469-341-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RACHNA",
        "middle_name": "DHIRUBHAI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.