Organization Active NPI

Java Dental of Northlake LLC

  • Dental Clinic/Center
  • Northlake, TX
National Provider Identifier
1902704711
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAVA DENTAL OF NORTHLAKE LLC
Practice address
1620 FM 407 Suite #130
Northlake, TX 76247
Phone
(972) 408-7099
NPI assigned
Oct 30, 2026
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Dr. Mohit Patel, DDSNPI 1992250229
Title
Owner/Dentist
Phone
(972) 408-7099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1620 FM 407 Suite #130
Northlake, TX 76247

Mailing address

9406 Los Alamos TRL
Irving, TX 75063-4641

National Provider Directory

National Provider Directory

Locations

1620 FM 407
Ste 130
Northlake, TX 76247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1793318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1902704711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 LOS ALAMOS TRL",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 FM 407 SUITE #130",
            "city": "NORTHLAKE",
            "state": "TX",
            "postal_code": "76247",
            "telephone_number": "972-408-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVA DENTAL OF NORTHLAKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-30",
        "last_updated": "2026-10-30",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MOHIT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "972-408-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2026; 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.