Organization Active NPI

Nirav N. Patel, DDS, Inc

  • General Practice Dentistry
  • Barstow, CA
National Provider Identifier
1255614202
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52910 Issued in CA
Legal business name
NIRAV N. PATEL, DDS, INC
Practice address
914 E Main St
Barstow, CA 92311-2406
Phone
(760) 256-9373
Fax
(760) 256-1263
NPI assigned
Sep 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Dr. Nirav N Patel, DDS
Title
Ceo
Phone
(760) 256-9373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52910 CA Primary

Addresses

Primary practice location

914 E Main St
Barstow, CA 92311-2406

Mailing address

914 E Main St
Barstow, CA 92311-2406
Phone (760) 256-9373

National Provider Directory

National Provider Directory

Locations

914 E Main St
Barstow, CA 92311
Phone (760) 256-9373

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1255614202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112406",
            "telephone_number": "760-256-9373",
            "fax_number": "760-256-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 E MAIN ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112406",
            "telephone_number": "760-256-9373",
            "fax_number": "760-256-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIRAV N. PATEL, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-256-9373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.