Individual provider Active NPI

Dineshchandra Makadia, DDS

  • General Practice Dentistry
  • Mira Loma, CA
National Provider Identifier
1609978121
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47124 Issued in CA
Practice address
11058 Limonite Ave
Mira Loma, CA 91752-2120
Phone
(951) 737-6005
Fax
(951) 737-9370
NPI assigned
Sep 4, 2006
Last updated
Aug 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 47124 CA Primary

Addresses

Primary practice location

11058 Limonite Ave
Mira Loma, CA 91752-2120

Mailing address

11058 Limonite Ave
Jurupa Valley, CA 91752-2120
Phone (951) 737-6005

Other identifiers 1

IdentifierTypeStateIssuer
B-47124-1MedicaidCA

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

LicenseStateTypeSpecialty
47124CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mira Loma Dental CurrentSince Aug 28, 2021 Accepting new patients
Dinesh Makadia Dental Inc Current Accepting new patients

Locations

11058 Limonite Ave
Jurupa Valley, CA 91752
Phone (951) 737-6005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628985600000",
    "number": "1609978121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11058 LIMONITE AVE",
            "city": "JURUPA VALLEY",
            "state": "CA",
            "postal_code": "917522120",
            "telephone_number": "951-737-6005",
            "fax_number": "951-737-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11058 LIMONITE AVE",
            "city": "MIRA LOMA",
            "state": "CA",
            "postal_code": "917522120",
            "telephone_number": "951-737-6005",
            "fax_number": "951-737-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "DINESHCHANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B-47124-1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mira Loma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2021; 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.