Individual provider Active NPI

Romi Rajul Patel, DDS

  • Dentist
  • Diamond Bar, CA
National Provider Identifier
1144791377
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
103413 Issued in CA
Practice address
303 S Diamond Bar Blvd Ste 2C
Diamond Bar, CA 91765-1613
Phone
(909) 860-7579
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 103413 CA Primary

Addresses

Primary practice location

303 S Diamond Bar Blvd Ste 2C
Diamond Bar, CA 91765-1613

Mailing address

2070 Ardsheal Dr
La Habra Heights, CA 90631-7758
Phone (714) 213-4406

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

State licenses

LicenseStateTypeSpecialty
103413CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
R Patel DDS Inc a Dental Corporation Dentist CurrentSince Jan 10, 2021 Accepting new patients
Romi Patel DDS Inc CurrentSince Jan 8, 2023 Accepting new patients

Locations

303 S Diamond Bar Blvd
#2C
Diamond Bar, CA 91765
Phone (909) 860-7579

303 S Diamond Bar Blvd
Ste 2C
Diamond Bar, CA 91765
Phone (909) 860-7579

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1144791377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 ARDSHEAL DR",
            "city": "LA HABRA HEIGHTS",
            "state": "CA",
            "postal_code": "906317758",
            "telephone_number": "714-213-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S DIAMOND BAR BLVD STE 2C",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651613",
            "telephone_number": "909-860-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ROMI",
        "middle_name": "RAJUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.