Jagruti Patel DDS, a Prof. Corp.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

36105 Issued in CA

Legal business name

JAGRUTI PATEL DDS, A PROF. CORP.

Practice address

12750 Carmel Country Rd
Suite 114a
San Diego, CA 92130-2159

Phone

(858) 792-2511

Fax

(858) 792-4121

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jagruti Patel, DDS

Title

President

Phone

(760) 720-9196

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1386817328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "SUITE 114A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-792-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 CARMEL COUNTRY RD",
            "address_2": "SUITE 114A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302159",
            "telephone_number": "858-792-2511",
            "fax_number": "858-792-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGRUTI PATEL DDS, A PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAGRUTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-720-9196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "36105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Jagger, DDS
• April Jeannette Jaggi, NNP-BC
• Elizabeth Jaggie
• Ariana Evelina Jagiello
• Joshua Barry Jagoda, DC CCSP
• Fatmata Jah, RN
• John Jahan, M.D.
• Sairah Bano Jahangir
• Alexis Pouran Jahangiri, DC
• Mohammad Jahangiri

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.