Individual provider Active NPI

Brinda Patel, DDS

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1861601353
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23051 Issued in TX
Practice address
3516 Preston Rd
Suite #600
Plano, TX 75093-8612
Phone
(972) 535-0330
Fax
(972) 612-0493
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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 23051 TX Primary

Addresses

Primary practice location

3516 Preston Rd
Suite #600
Plano, TX 75093-8612

Mailing address

3516 Preston Rd
Suite #600
Plano, TX 75093-8612
Phone (972) 535-0330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150727002829 CA Order and Referring Only - DentistPractitioner - Dentist 8224342860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23051TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1861601353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 PRESTON RD",
            "address_2": "SUITE #600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938612",
            "telephone_number": "972-535-0330",
            "fax_number": "972-612-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 PRESTON RD",
            "address_2": "SUITE #600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938612",
            "telephone_number": "972-535-0330",
            "fax_number": "972-612-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BRINDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.