Mamta Vinayak Desai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45104 Issued in CA

Practice address

5145 Stevens Creek Blvd
Suite 210
Santa Clara, CA 95051-6600

Phone

(408) 246-1111

Fax

(408) 246-1114

NPI assigned

Jul 31, 2006

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

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568478428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 STEVENS CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516600",
            "telephone_number": "408-246-1111",
            "fax_number": "408-246-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 STEVENS CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516600",
            "telephone_number": "408-246-1111",
            "fax_number": "408-246-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "MAMTA",
        "middle_name": "VINAYAK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Mary Demorest, PH.D.
• Haiyan H. Deng, MD
• Lily Yue Deng, MD
• Maria Suzanne Deniston, OTR/L
• Khushbu Shrinandkumar Desai, PA-C
• Megha Desai
• Nikhil Desai, DMD, MD
• Rachna Desai
• Toral Nitinbhai Desai
• Harleen K Dhaliwal

• General Practice Dentistry in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.