P.K. Patel & S.K. Patel, a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

P.K. PATEL & S.K. PATEL, A PROFESSIONAL DENTAL CORPORATION

Doing business as

Bay Area Dental Surgery Center

Practice address

1172 Cadillac CT
Milpitas, CA 95035-3025

Phone

(209) 456-2787

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Pankaj K Patel, DMDNPI 1578687570

Title

President

Phone

(209) 456-2787

Specialties & licenses 1

Addresses

Other names 1

• Bay Area Dental Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0001917

Legal name

BAY AREA DENTAL SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 6, 2010

Last certification

Nov 1, 2017

Ownership / control type

Proprietary

Facility address

1172 Cadillac Court
Milpitas, CA 95035

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pankaj K Patel, DMD

  • General Practice Dentistry
  • Salida, CA
  • NPI 1578687570
  NPD Authorized official
• Kishan Shailesh Patel, D.D.S.

  • Dentist
  • Milpitas, CA
  • NPI 1437710993
  NPD (past)
• Ivan Delano Rees, D.D.S.

  • Dental Anesthesiology
  • Orange, CA
  • NPI 1679874341
  NPD (past)

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1225278997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 CADILLAC CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 CADILLAC CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353025",
            "telephone_number": "209-456-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.K. PATEL & S.K. PATEL, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-456-2787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Dental Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Area Dental Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.