Individual provider Active NPI

Neil Sunit Patel, DDS

  • Periodontics
  • Palm Desert, CA
National Provider Identifier
1366112377
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
106748 Issued in CA
Practice address
44550 Village CT Ste 102
Palm Desert, CA 92260-3817
Phone
(760) 674-4410
NPI assigned
Sep 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106748 CA
Periodontics 1223P0300X 106748 CA Primary

Addresses

Primary practice location

44550 Village CT Ste 102
Palm Desert, CA 92260-3817

Mailing address

5930 Phoenician CT
Merced, CA 95340-8401
Phone (209) 658-2335

Other practice location 1

25109 Jefferson Ave Ste 310
Murrieta, CA 92562-8119
Phone (951) 225-4664

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
106748CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Warshawsky, DDS, Inc. Periodontics CurrentSince Jul 21, 2024 Accepting new patients

Locations

44550 Village Ct
Ste 102
Palm Desert, CA 92260
Phone (760) 674-4410

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1366112377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 PHOENICIAN CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408401",
            "telephone_number": "209-658-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44550 VILLAGE CT STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603817",
            "telephone_number": "760-674-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25109 Jefferson Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925628119",
            "country_code": "US",
            "telephone_number": "951-225-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "NEIL",
        "middle_name": "SUNIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-20",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106748",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "106748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.