Individual provider Active NPI

Shitalben R. Patel

  • General Practice Dentistry
  • Lancaster, TX
National Provider Identifier
1992957765
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31451 Issued in TX
Practice address
1445 W Pleasant Run Rd Ste 500
Lancaster, TX 75146-1312
Phone
(214) 432-4070
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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 31451 TX Primary

Addresses

Primary practice location

1445 W Pleasant Run Rd Ste 500
Lancaster, TX 75146-1312

Mailing address

10503 Torino Dr
Frisco, TX 75035-8030
Phone (312) 480-6002

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
I20161208002057 TX Order and Referring Only - DentistPractitioner - Dentist 5991085987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31451TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
P&G Dental PLLC General Practice CurrentSince Sep 5, 2023 Accepting new patients
Bonnie View Dental PLLC PastSince Nov 13, 2022 Accepting new patients

Locations

4050 S Collins St
Ste 300
Arlington, TX 76014
Phone (817) 476-7738

Organizations & group practices 2

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1992957765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10503 TORINO DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750358030",
            "telephone_number": "312-480-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 W PLEASANT RUN RD STE 500",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751461312",
            "telephone_number": "214-432-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHITALBEN",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

Verify at the official NPI Registry.