Organization Active NPI

Alpesh Patel DDS, Inc

  • Dentist
  • Bloomington, CA
National Provider Identifier
1578744769
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ALPESH PATEL DDS, INC
Practice address
17644 Valley Blvd
Unit # 1
Bloomington, CA 92316-1947
Phone
(909) 877-0650
Fax
(909) 877-0951
NPI assigned
Nov 16, 2007
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Alpesh K Patel, DDSNPI 1003964107
Title
President
Phone
(909) 877-0650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

17644 Valley Blvd
Unit # 1
Bloomington, CA 92316-1947

Mailing address

17644 Valley Blvd Unit 1
Bloomington, CA 92316-1947
Phone (909) 877-0650

National Provider Directory

National Provider Directory

Locations

17644 Valley Blvd
Ste 1
Bloomington, CA 92316
Phone (909) 213-7192

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1578744769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17644 VALLEY BLVD UNIT 1",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923161947",
            "telephone_number": "909-877-0650",
            "fax_number": "909-877-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17644 VALLEY BLVD",
            "address_2": "UNIT # 1",
            "city": "BLOOMINGTON",
            "state": "CA",
            "postal_code": "923161947",
            "telephone_number": "909-877-0650",
            "fax_number": "909-877-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPESH PATEL DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-877-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.