Active NPI
Kush Hiren Patel, DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1154624179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59613
- Practice address
- 4977 Huntington Dr N
Los Angeles, CA 90032-1644 - Phone
- (323) 222-7198
- NPI assigned
- Dec 13, 2010
- Last updated
- Dec 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59613 | CA | Primary |
Addresses
Primary practice location
4977 Huntington Dr N
Los Angeles, CA 90032-1644
Mailing address
4977 Huntington Dr N
Los Angeles, CA 90032-1644
Phone (323) 222-7198
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59613 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hirenkumar S Patel DDS Inc | Past | Accepting new patients | |
| 2K Fullerton Dental | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292198400000",
"number": "1154624179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4977 HUNTINGTON DR N",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900321644",
"telephone_number": "323-222-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4977 HUNTINGTON DR N",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900321644",
"telephone_number": "323-222-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUSH",
"middle_name": "HIREN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-13",
"last_updated": "2010-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.