NPIMap

Organization Active NPI

Desar and Patel Professional Dental Corporation

Doing business as Orangecrest Dental Group

  • Dentist
  • Riverside, CA
National Provider Identifier
1336287622
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41395 Issued in CA
Legal business name
DESAR AND PATEL PROFESSIONAL DENTAL CORPORATION
Doing business as
Orangecrest Dental Group
Practice address
19510 Van Buren Blvd
F 5
Riverside, CA 92508-9457
Phone
(951) 653-6663
Fax
(951) 656-5638
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Dr. Jyoti V Desar, DDSNPI 1205983830
Title
Owner
Phone
(951) 653-6663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41395 CA Primary

Addresses

Primary practice location

19510 Van Buren Blvd
F 5
Riverside, CA 92508-9457

Mailing address

19510 Van Buren Blvd
F 5
Riverside, CA 92508-9457
Phone (951) 653-6663

Other names 1

  • Orangecrest Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

19510 Van Buren Blvd
Ste F5
Riverside, CA 92508
Phone (951) 565-4944

Practitioners & affiliated clinicians

Practitioners 2

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1336287622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 VAN BUREN BLVD",
            "address_2": "F 5",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089457",
            "telephone_number": "951-653-6663",
            "fax_number": "951-656-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19510 VAN BUREN BLVD",
            "address_2": "F 5",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925089457",
            "telephone_number": "951-653-6663",
            "fax_number": "951-656-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAR AND PATEL PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "DESAR",
        "authorized_official_first_name": "JYOTI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-653-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orangecrest Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2014; 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.