Nimesh Patel a Professional Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

52911 Issued in CA

Legal business name

NIMESH PATEL A PROFESSIONAL DENTAL CORPORATION

Practice address

30012 Crown Valley Pkwy Ste B
Laguna Niguel, CA 92677-1700

Phone

(949) 495-2866

Fax

(949) 495-2868

NPI assigned

Nov 2, 2017

Organization subpart

No

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

Authorized official

Name

Nimesh Patel, DDS

Title

Owner

Phone

(949) 459-2866

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1386156131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30012 CROWN VALLEY PKWY STE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771700",
            "telephone_number": "949-495-2866",
            "fax_number": "949-495-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30012 CROWN VALLEY PKWY STE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771700",
            "telephone_number": "949-495-2866",
            "fax_number": "949-495-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMESH PATEL A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIMESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-459-2866",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gerth
• Night Owl Therapies LLC
• Armita Nikgohar
• Niloofar Nikpour, LAC, MTOM
• Nimbus Medical LLC
• Lauren Nishida, PT, DPT
• Shanell Noji, PTA
• Noor Clinical Social Worker and Consulting PC
• Nooshin Majd DMD MSD Inc. (Laguna Niguel Orthodontics)
• Norman F. Huefner DMD a Prof Corp

• Oral and Maxillofacial Surgery (Dentist) in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.