Active NPI
Shalizeh Azizi Patel, DDS
- Dentist
- Houston, TX
National Provider Identifier
1952535627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20498
- Practice address
- 6516 M D Anderson Blvd
Suite 493
Houston, TX 77030-3402 - Phone
- (214) 288-7919
- Fax
- (713) 500-4108
- NPI assigned
- May 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20498 | TX | Primary |
Addresses
Primary practice location
6516 M D Anderson Blvd
Suite 493
Houston, TX 77030-3402
Mailing address
2218 Naomi St
Houston, TX 77054-3824
Phone (214) 288-7919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TX-20498 | Other | NO INSURANCE TAKEN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20498 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1952535627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 NAOMI ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543824",
"telephone_number": "214-288-7919",
"fax_number": "713-500-4108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6516 M D ANDERSON BLVD",
"address_2": "SUITE 493",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303402",
"telephone_number": "214-288-7919",
"fax_number": "713-500-4108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "SHALIZEH",
"middle_name": "AZIZI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "20498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO INSURANCE TAKEN",
"identifier": "TX-20498",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.