Active NPI
Mittal Ashokkumar Patel, DDS
- Dentist
- Corona, CA
National Provider Identifier
1487111985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103554
- Practice address
- 2083 Compton Ave Ste 102
Corona, CA 92881-7288 - Phone
- (951) 737-4515
- NPI assigned
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 103554 | CA | Primary |
Addresses
Primary practice location
2083 Compton Ave Ste 102
Corona, CA 92881-7288
Mailing address
2747 Santa Fiora Dr
Corona, CA 92882-1113
Phone (978) 394-5197
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 |
|---|---|---|---|
| 103554 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mittal Patel DDS Inc | Dentist | Current | Accepting new patients |
| James K. Lai DDS Inc. | Dentist | Current | Accepting new patients |
Locations
2083 Compton Ave
Ste 102
Corona, CA 92881
Phone (951) 737-4515
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Corona, CA
- NPI 1437913530
-
- Dentist
- Corona, CA
- NPI 1912310590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1487111985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2747 SANTA FIORA DR",
"city": "CORONA",
"state": "CA",
"postal_code": "928821113",
"telephone_number": "978-394-5197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2083 COMPTON AVE STE 102",
"city": "CORONA",
"state": "CA",
"postal_code": "928817288",
"telephone_number": "951-737-4515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "MITTAL",
"middle_name": "ASHOKKUMAR",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.