Active NPI
Jeevan Vinayak Ghatnekar, DDS
- Dentist
- Irvine, CA
National Provider Identifier
1437161551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- B33425
- Practice address
- 2 Osborn St Ste 130
Irvine, CA 92604-8656 - Phone
- (949) 552-1380
- Fax
- (949) 552-5980
- NPI assigned
- Aug 13, 2006
- Last updated
- Aug 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | B33425 | CA | Primary |
Addresses
Primary practice location
2 Osborn St Ste 130
Irvine, CA 92604-8656
Mailing address
2 Osborn St. #130
Irvine, CA 92604
Phone (949) 552-1380
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
| License | State | Type | Specialty |
|---|---|---|---|
| B33425 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1437161551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 OSBORN ST. #130",
"city": "IRVINE",
"state": "CA",
"postal_code": "92604",
"telephone_number": "949-552-1380",
"fax_number": "949-552-5980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 OSBORN ST STE 130",
"city": "IRVINE",
"state": "CA",
"postal_code": "926048656",
"telephone_number": "949-552-1380",
"fax_number": "949-552-5980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHATNEKAR",
"first_name": "JEEVAN",
"middle_name": "VINAYAK",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "B33425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.