Anjana a.Patel,DDS.,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

38112 Issued in CA

Legal business name

ANJANA A.PATEL,DDS.,INC

Practice address

2359 Skyline Dr
Fullerton, CA 92831-1127

Phone

(714) 747-1648

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anjana Arun Patel, D.D.S.NPI 1538234919

Title

President

Phone

(814) 747-1648

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anjana Arunkumar Patel, DDS

  • Dentist
  • Fullerton, CA
  • NPI 1538234919
  NPD (past) Authorized official
• Arun Dahyabhai Patel, MD

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1477628840
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1407273592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321635",
            "telephone_number": "714-871-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 SKYLINE DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311127",
            "telephone_number": "714-747-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJANA A.PATEL,DDS.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANJANA",
        "authorized_official_middle_name": "ARUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-747-1648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "38112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B38112-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.