Shivam Patel

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42025 Issued in TX

Practice address

2733 Fort Worth Hwy Ste 101
Hudson Oaks, TX 76087-4924

Phone

(682) 333-5000

NPI assigned

Oct 14, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Dental Hudson Oaks PLLC

  • Dentist
  • Hudson Oaks, TX
  • NPI 1073351169
  NPD

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1952277261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 STATE HIGHWAY 26 APT 2157",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512160",
            "telephone_number": "601-329-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 FORT WORTH HWY STE 101",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760874924",
            "telephone_number": "682-333-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHIVAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Renee Noyes, APRN
• Oakridge Urgent Care, PLLC
• Onsite Mobile Imaging
• Lawrence Ndubuisi Onyeugwor, PHARM- D
• Janet Park, DDS, MS
• Jennifer Lynn Perez, FNP-BC
• James Curtis Reagan, D.D.S
• Abigail Rae Rockett, APRN, FNP-C
• Lee R Salcido
• Johnathan Scala, PHARM.D.

• General Practice Dentistry in Hudson Oaks, TX
• Providers in Hudson Oaks, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.