Active NPI
Harsh B Patel
- General Practice Dentistry
- Temple, TX
National Provider Identifier
1952716318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30160
- Practice address
- 1616 W Avenue a
Temple, TX 76504-4047 - Phone
- (254) 778-6221
- Fax
- (254) 742-0458
- NPI assigned
- Jun 24, 2014
- Last updated
- Aug 5, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30160 | TX | Primary |
Addresses
Primary practice location
1616 W Avenue a
Temple, TX 76504-4047
Mailing address
1616 W Avenue a
Temple, TX 76504-4047
Phone (254) 778-6221
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150808015924 | TX | Order and Referring Only - Oral Surgery | 4688988348 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familia Dental Odessa PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1952716318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 W AVENUE A",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765044047",
"telephone_number": "254-778-6221",
"fax_number": "254-742-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 W AVENUE A",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765044047",
"telephone_number": "254-778-6221",
"fax_number": "254-742-0458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "HARSH",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.