Individual provider Active NPI

Jyoti Vinod Desar, DDS

  • Dentist
  • Riverside, CA
National Provider Identifier
1205983830
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41395 Issued in CA
Practice address
6700 Indiana Ave Ste 115
Riverside, CA 92506-4297
Phone
(951) 276-2222
Fax
(951) 276-2222
NPI assigned
Jan 4, 2007
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 41395 CA Primary

Addresses

Primary practice location

6700 Indiana Ave Ste 115
Riverside, CA 92506-4297

Mailing address

6700 Indiana Ave Ste 115
Riverside, CA 92506-4297
Phone (951) 276-2222

Other practice location 1

19510 Van Buren Blvd Ste F5
Riverside, CA 92508-9458
Phone (951) 653-6663

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
41395CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desar and Patel Professional Dental Corporation Dentist Past Accepting new patients
Desar Professional Dental Corporation 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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1205983830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE STE 115",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064297",
            "telephone_number": "951-276-2222",
            "fax_number": "951-276-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE STE 115",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064297",
            "telephone_number": "951-276-2222",
            "fax_number": "951-276-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19510 Van Buren Blvd Ste F5",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925089458",
            "country_code": "US",
            "telephone_number": "951-653-6663",
            "fax_number": "951-656-5638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAR",
        "first_name": "JYOTI",
        "middle_name": "VINOD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "41395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.