Pradip D Patel, D.D.S – General Practice Dentistry

Key facts

NPI: 1194746933
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 33136 (CA)
Practice address: 7501 Atlantic Ave
Suite # C
Cudahy, CA 90201-6804
Phone: (323) 771-1706
Fax: (323) 771-1299
NPI assigned: Jul 21, 2006
Sex: Male
Sole proprietor: No

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.

Pradip D Patel DDS Inc Dentist · Cudahy, CA · NPI 1710271713

NPD (past) Authorized official DENTIST
Nikhil Desai DDS Inc Dental Clinic/Center · Cerritos, CA · NPI 1942790704

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
33136	CA	MD	Chiropractor

Practice roles

Organization	Specialty	Status	New patients
Nikhil Desai DDS Inc		Past	Accepting new patients
Pradip D Patel DDS Inc	Dentist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	33136	CA	Yes
Dentist	122300000X	33136	CA

Addresses

Primary practice location

7501 Atlantic Ave
Suite # C
Cudahy, CA 90201-6804

Mailing address

7501 Atlantic Ave
Suite # C
Cudahy, CA 90201-6804
Phone (323) 771-1706

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2011.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1194746933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 ATLANTIC AVE",
            "address_2": "SUITE # C",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902016804",
            "telephone_number": "323-771-1706",
            "fax_number": "323-771-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 ATLANTIC AVE",
            "address_2": "SUITE # C",
            "city": "CUDAHY",
            "state": "CA",
            "postal_code": "902016804",
            "telephone_number": "323-771-1706",
            "fax_number": "323-771-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PRADIP",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33136",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "33136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, CA

All providers in Cudahy, CA · General Practice Dentistry in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.