Active NPI
Mitsu Patel
- Dentist
- Sanger, CA
National Provider Identifier
1477348852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS112998
- Practice address
- 1570 7TH St
Sanger, CA 93657-2402 - Phone
- (559) 875-0557
- NPI assigned
- Apr 14, 2025
- Last updated
- Jul 8, 2026
- Sex
- Female
- 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 | DDS112998 | CA | Primary |
Addresses
Primary practice location
1570 7TH St
Sanger, CA 93657-2402
Mailing address
1170 Santa Ana Ave Apt 178
Clovis, CA 93612-4057
Phone (626) 780-9093
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 |
|---|---|---|---|
| 019.036357 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy D. Bower, DMD, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Mount Vernon, IL
- NPI 1841682549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1477348852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 SANTA ANA AVE APT 178",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936124057",
"telephone_number": "626-780-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1570 7TH ST",
"city": "SANGER",
"state": "CA",
"postal_code": "936572402",
"telephone_number": "559-875-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MITSU",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-14",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS112998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.