Individual provider Active NPI

Darshan Ajitkumar Patel

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Bernardino, CA
National Provider Identifier
1356933063
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DDS103842 Issued in CA
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

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
DDS103842CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.