Individual provider Active NPI

Purav Patel, DMD

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1942549696
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29778 Issued in TX
Practice address
2203 W 35TH St
Building 727
Austin, TX 78703-1203
Phone
(512) 454-4731
NPI assigned
Jan 31, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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 29778 TX Primary

Addresses

Primary practice location

2203 W 35TH St
Building 727
Austin, TX 78703-1203

Mailing address

811 E 11TH St
Apt 229
Austin, TX 78702-1930
Phone (732) 318-8876

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
I20150120001650 TX Order and Referring Only - DentistPractitioner - Dentist 5991029076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1942549696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST",
            "address_2": "APT 229",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787021930",
            "telephone_number": "732-318-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W 35TH ST",
            "address_2": "BUILDING 727",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787031203",
            "telephone_number": "512-454-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURAV",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-31",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.