Indravadan D Patel DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

INDRAVADAN D PATEL DDS INC

Practice address

1018 E Sycamore St Ste 103
Anaheim, CA 92805-2165

Phone

(714) 520-4541

Fax

(714) 520-4543

NPI assigned

Feb 2, 2019

Organization subpart

No

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

Authorized official

Name

Indravadan D Patel, DDSNPI 1659526366

Title

Dentist

Phone

(714) 520-4541

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Indravadan Dahyabhai Patel, D.D.S.

  • Dentist
  • Anaheim, CA
  • NPI 1659526366
  NPD (past) Authorized official

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

{
    "created_epoch": "1549065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554508800000",
    "number": "1114482239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 E SYCAMORE ST STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052165",
            "telephone_number": "714-520-4541",
            "fax_number": "714-520-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 E SYCAMORE ST STE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052165",
            "telephone_number": "714-520-4541",
            "fax_number": "714-520-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDRAVADAN D PATEL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-02",
        "last_updated": "2019-04-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "INDRAVADAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-520-4541",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Anaheim, CA
• Providers in Anaheim, 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 Apr 6, 2019; 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.