Individual provider Active NPI

Kalpesh A Patel, DDS

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1861520645
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23031 Issued in TX
Practice address
2240 Market Place Blvd
Suite 140
Irving, TX 75063-8072
Phone
(214) 257-0708
NPI assigned
Mar 1, 2007
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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 23031 TX Primary

Addresses

Primary practice location

2240 Market Place Blvd
Suite 140
Irving, TX 75063-8072

Mailing address

2240 Market Place Blvd
Ste 140
Irving, TX 75063-8098
Phone (972) 556-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160419001798 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7911205323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23031TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marketplace Dental PC Current Accepting new patients

Locations

6828 Stonebrook Pkwy
Ste 100
Frisco, TX 75034
Phone (469) 598-1055

2240 Market Place Blvd
Ste 140
Irving, TX 75063
Phone (214) 257-0708

2304 Midway Rd
Ste C
Plano, TX 75093
Phone (469) 747-2151

Organizations & group practices 2

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1861520645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 MARKET PLACE BLVD",
            "address_2": "STE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638098",
            "telephone_number": "972-556-0600",
            "fax_number": "972-556-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 MARKET PLACE BLVD",
            "address_2": "SUITE 140",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750638072",
            "telephone_number": "214-257-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KALPESH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.