Active NPI
Dimple Desai, DDS
- Dentist
- Cerritos, CA
National Provider Identifier
1013170034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57191
- Practice address
- 11635 South St
Cerritos, CA 90701-6628 - Phone
- (562) 924-4401
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 57191 | CA | Primary |
Addresses
Primary practice location
11635 South St
Cerritos, CA 90701-6628
Mailing address
1218 Hillmar Dr
Diamond Bar, CA 91765-2413
Phone (323) 251-6423
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215561600000",
"number": "1013170034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 HILLMAR DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652413",
"telephone_number": "323-251-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11635 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907016628",
"telephone_number": "562-924-4401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "DIMPLE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2008-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.