Active NPI
M. B. Patel, DDS
- General Practice Dentistry
- Ventura, CA
National Provider Identifier
1215920947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31354
- Practice address
- 4080 Loma Vista Rd
Suite # C
Ventura, CA 93003-1811 - Phone
- (805) 642-5808
- Fax
- (805) 642-5052
- NPI assigned
- Aug 29, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 31354 | CA | Primary |
Addresses
Primary practice location
4080 Loma Vista Rd
Suite # C
Ventura, CA 93003-1811
Mailing address
4080 Loma Vista Rd
Suite # C
Ventura, CA 93003-1811
Phone (805) 642-5808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B31354-01 | Other | CA | DENTI-CAL |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215920947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 LOMA VISTA RD",
"address_2": "SUITE # C",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031811",
"telephone_number": "805-642-5808",
"fax_number": "805-642-5052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 LOMA VISTA RD",
"address_2": "SUITE # C",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031811",
"telephone_number": "805-642-5808",
"fax_number": "805-642-5052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "M.",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "31354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL",
"identifier": "B31354-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.