Active NPI
Niraj Rajnikant Patel, DDS
- Endodontics
- Corona, CA
National Provider Identifier
1346825023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 104528
- Practice address
- 260 E Ontario Ave Ste 102
Corona, CA 92879-3508 - Phone
- (951) 278-9000
- NPI assigned
- Mar 14, 2021
- Last updated
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 104528 | CA | Primary |
Addresses
Primary practice location
260 E Ontario Ave Ste 102
Corona, CA 92879-3508
Mailing address
260 E Ontario Ave Ste 102
Corona, CA 92879-3508
Phone (951) 407-9083
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104528 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Niraj R. Patel DDS Dental Corporation | Endodontics | Current | Accepting new patients |
| Rajnikant M. Patel D.D.S. Inc | Past | Accepting new patients |
Locations
260 E Ontario Ave
Ste 102
Corona, CA 92879
Phone (951) 278-9000
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.
-
dba Niraj Patel D.D.S. Endodontic Specialist
- Endodontics
- Corona, CA
- NPI 1073283933
-
- Dentist
- Corona, CA
- NPI 1457775686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1346825023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 E ONTARIO AVE STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928793508",
"telephone_number": "951-407-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 E ONTARIO AVE STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928793508",
"telephone_number": "951-278-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "NIRAJ",
"middle_name": "RAJNIKANT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-14",
"last_updated": "2021-11-11",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "104528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.