NPIMap

Organization Active NPI

Sanjay V Patel DDS a Dental Corporation

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1356658702
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43480 Issued in CA
Legal business name
SANJAY V PATEL DDS A DENTAL CORPORATION
Practice address
415 W 5TH St Ste B
San Bernardino, CA 92401-1325
Phone
(909) 386-7878
Fax
(909) 386-7881
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Dr. Sanjay Vasangee Patel, DDSNPI 1942216809
Title
President
Phone
(909) 386-7878

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 43480 CA Primary

Addresses

Primary practice location

415 W 5TH St Ste B
San Bernardino, CA 92401-1325

Mailing address

415 W 5TH St Ste B
San Bernardino, CA 92401-1325
Phone (909) 386-7878

Other names 1

  • My Dentist Doing business as

National Provider Directory

National Provider Directory

Locations

234 N D St
San Bernardino, CA 92401
Phone (909) 386-7878

415 W 5th St
Ste B
San Bernardino, CA 92401
Phone (909) 386-7878

Practitioners & affiliated clinicians

Practitioners 3

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": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1356658702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W 5TH ST STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011325",
            "telephone_number": "909-386-7878",
            "fax_number": "909-386-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W 5TH ST STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011325",
            "telephone_number": "909-386-7878",
            "fax_number": "909-386-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY V PATEL DDS A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "VASANGEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-386-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.