Pratik A Makadia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

101080 Issued in CA

Practice address

703 N Golden State Blvd
Turlock, CA 95380-3953

Phone

(209) 216-4198

NPI assigned

Dec 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1013451988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 WILLOW HOLLOW RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092808",
            "telephone_number": "980-322-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N GOLDEN STATE BLVD",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953803953",
            "telephone_number": "209-216-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "PRATIK",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Maclaren Jr., M.D.
• Kuldip NA Maderr
• Monique Madonna
• Hannah Estelle Magana
• Anand Parkash Magoon, D.O.
• Victor Julian Maldonado
• Dina Malek-Moreno, LCSW
• Sargon Malek, D.C.
• Malli, Inc.
• Alan Mallory, PT, DPT

• General Practice Dentistry in Turlock, CA
• Providers in Turlock, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.

Verify at the official NPI Registry.