Individual provider Active NPI

Sonal Desai, DDS

  • Dentist
  • North Richland Hills, TX
National Provider Identifier
1891009692
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0025736 Issued in TX
Practice address
4913 Rufe Snow Dr
104
North Richland Hills, TX 76180-7856
Phone
(817) 656-2945
Fax
(817) 656-1695
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0025736 TX Primary

Addresses

Primary practice location

4913 Rufe Snow Dr
104
North Richland Hills, TX 76180-7856

Mailing address

4913 Rufe Snow Dr
104
North Richland Hills, TX 76180-7856
Phone (817) 656-2945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 6, 2016 through Jun 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0025736TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Desai Dental PC CurrentSince Aug 28, 2022 Accepting new patients

Locations

4913 Rufe Snow Dr
Ste 104
North Richland Hills, TX 76180
Phone (817) 656-2945

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1891009692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 RUFE SNOW DR",
            "address_2": "104",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807856",
            "telephone_number": "817-656-2945",
            "fax_number": "817-656-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 RUFE SNOW DR",
            "address_2": "104",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807856",
            "telephone_number": "817-656-2945",
            "fax_number": "817-656-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "SONAL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0025736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.