Individual provider Active NPI

Purav B Patel, DDS

  • Dentist
  • Lewisville, TX
National Provider Identifier
1992433866
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38746 Issued in TX
Practice address
420 E Round Grove Rd Ste 640
Lewisville, TX 75067-8138
Phone
(972) 436-4556
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38746 TX Primary

Addresses

Primary practice location

420 E Round Grove Rd Ste 640
Lewisville, TX 75067-8138

Mailing address

1003 High Hawk TRL
Euless, TX 76039-5837

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

LicenseStateTypeSpecialty
38746TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Purav B Patel, DDS, PLLC CurrentSince Nov 12, 2023 Accepting new patients
Bob Jing D.D.S P.a. PastSince Aug 1, 2022 Accepting new patients
Common Roots Family Dental, PC Dentist PastSince Nov 12, 2023 Accepting new patients

Locations

420 E Round Grove Rd
Ste 640
Lewisville, TX 75067
Phone (682) 557-6205

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1992433866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HIGH HAWK TRL",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760395837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E ROUND GROVE RD STE 640",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678138",
            "telephone_number": "972-436-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURAV",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.