Active NPI
Java Dental of Northlake LLC
- Dental Clinic/Center
- Northlake, TX
National Provider Identifier
1902704711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohit Patel, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Dallas, TX
- NPI 1992250229
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.