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DR. ROSHAN VIJAY PATEL D.M.D
NPI 1114333903
Dentist - Pediatric Dentistry in Fort Worth, TX

Active since July 01, 2014
5700 EDWARDS RANCH RD STE 100, FORT WORTH, TX 76109(817) 292-2004(817) 292-7083 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2021, Aug 20, 2019, Mar 31, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Roshan Vijay Patel D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSHAN VIJAY PATEL D.M.D (NPI 1114333903) is an individual pediatric dentistry provider in Fort Worth, Texas, licensed in Texas (36187) and active in the NPI registry since July 2014. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1114333903
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ROSHAN VIJAY PATELCredential: D.M.D
Location Address5700 EDWARDS RANCH RD STE 100Fort Worth, TX 76109-4128
Mailing Address5700 Edwards Ranch Rd Ste 100Fort Worth, TX 76109-4128 · (817) 292-2004 · Fax (817) 292-7083
Phone(817) 292-2004
Fax(817) 292-7083
Sole ProprietorNo
Enumeration DateJuly 1, 2014
Last NPPES UpdateJune 11, 20215 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1114333903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TX · 36187
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 20642 (FL), 0977 (NC)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30.025952 (OH)
5700 EDWARDS RANCH RD STE 100, Fort Worth, TX 76109
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Secondary Practice Locations 3

Location 113245 Atlantic Blvd Ste 6Jacksonville, FL 32225-7118 · Phone (904) 220-7800
Location 2Unc School Of Dentistry, 401 Brauer HallChapel Hill, NC 27599-0001 · Phone (919) 537-3591
Location 33333 Burnet AveCincinnati, OH 45229 · Phone (513) 636-4641 · Fax (513) 636-8283

Other Identifiers 1

Medicaid020110100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roshan Patel's NPI number?

The NPI number for Roshan Patel is 1114333903. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Roshan Patel located?

Roshan Patel practices at 5700 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109. The listed phone number is (817) 292-2004.

What is Roshan Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Roshan Patel accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 20 other insurers list Roshan Patel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roshan Patel was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.