Individual provider Active NPI

Niraj Rajnikant Patel, DDS

  • Endodontics
  • Corona, CA
National Provider Identifier
1346825023
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
104528 Issued in CA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
104528CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Niraj R. Patel DDS Dental Corporation Endodontics CurrentSince Sep 23, 2021 Accepting new patients
Rajnikant M. Patel D.D.S. Inc PastSince Mar 21, 2021 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.

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.

Verify at the official NPI Registry.