Kinnari Desai

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

010032 Issued in CT

Practice address

991 State St
New Haven, CT 06511-3993

Phone

(203) 787-3669

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kinnari Patel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1417139916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 APPLEWOOD DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064842042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113993",
            "telephone_number": "203-787-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KINNARI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "010032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KINNARI",
            "last_name": "PATEL",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nada Derar, M.D.
• Sandie Jean Derival, APRN
• Dermatology Associates P.C.
• Teresa Marie Derr, LC.S.W., M.DIV.
• Aditi Deveshkumar Desai, DO
• Kunal Desai, M.D
• Nihar Desai, M.D, MPH
• Sachin N Desai
• Shivani Narendra Desai, PA-C
• Paul Henri Desan, MD

• Pediatric Dentistry in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.