Nisha M Patel, DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

44431 Issued in CA

Legal business name

NISHA M PATEL, DDS INC

Practice address

905 S Lake St
# 102
Burbank, CA 91502-2436

Phone

(818) 843-6411

Fax

(818) 843-6416

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nisha M Patel, DDSNPI 1417970591

Title

Owner/President

Phone

(818) 843-6411

Specialties & licenses 1

Addresses

Other names 1

• Alameda Family & Cosmetic Dental Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nisha Mayur Patel, DDS

  • General Practice Dentistry
  • Burbank, CA
  • NPI 1417970591
  NPD (past) Authorized official

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1053856757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 S LAKE ST",
            "address_2": "# 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022436",
            "telephone_number": "818-843-6411",
            "fax_number": "818-843-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 S LAKE ST",
            "address_2": "# 102",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915022436",
            "telephone_number": "818-843-6411",
            "fax_number": "818-843-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA M PATEL, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-843-6411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "44431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Family & Cosmetic Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Nieves
• Poulet Nikolay, M.D
• Samareh Nikookar, DDS
• Kia Nikoomanesh
• Nilesh Desai MD Inc
• Lori Sachiko Nishida-Eugenio, OD
• Ted Kiyotoshi Nishimura, O.D.
• Heidi Niz
• No Limits 2 Recovery, Inc.
• No Pain Hospice Care, Inc.

• Dental Clinic/Center in Burbank, CA
• Providers in Burbank, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.