Active NPI
Darshan Ajitkumar Patel
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Bernardino, CA
National Provider Identifier
1356933063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS103842
- Practice address
- 1353 W Mill St Ste 114
San Bernardino, CA 92410-2224 - Phone
- (909) 567-2024
- NPI assigned
- Feb 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS103842 | CA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS103842 | CA | Primary |
Addresses
Primary practice location
1353 W Mill St Ste 114
San Bernardino, CA 92410-2224
Mailing address
1353 W Mill St Ste 114
San Bernardino, CA 92410-2224
Phone (909) 567-2024
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 |
|---|---|---|---|
| DDS103842 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darshan Patel DDS Inc. | General Practice | Current | Accepting new patients |
Locations
1353 W Mill St
Ste 114
San Bernardino, CA 92410
Phone (805) 914-4495
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- San Bernardino, CA
- NPI 1831781541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649289600000",
"number": "1356933063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 W MILL ST STE 114",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924102224",
"telephone_number": "909-567-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1353 W MILL ST STE 114",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924102224",
"telephone_number": "909-567-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "DARSHAN",
"middle_name": "AJITKUMAR",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-04",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS103842",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS103842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.