RM Patel DDS, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

54570 Issued in CA

Legal business name

RM PATEL DDS, INC.

Practice address

7211 Haven Ave
Ste # D
Rancho Cucamonga, CA 91701-6064

Phone

(909) 256-8484

Fax

(909) 256-8493

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Keyurkumar Ratilal Patel, D.D.S.

Title

Ceo

Phone

(909) 267-0970

Specialties & licenses 1

Addresses

Other names 1

• Terra Vista Dental Care Doing business as

Locations

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1053789826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 HAVEN AVE",
            "address_2": "STE # D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917016064",
            "telephone_number": "909-256-8484",
            "fax_number": "909-256-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 HAVEN AVE",
            "address_2": "STE # D",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917016064",
            "telephone_number": "909-256-8484",
            "fax_number": "909-256-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RM PATEL DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KEYURKUMAR",
        "authorized_official_middle_name": "RATILAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-267-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Vista Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.