Active NPI
Madhavi J Desai,DDS, Inc.
- Dentist
- Santa Ana, CA
National Provider Identifier
1649686775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 37812
- Legal business name
- MADHAVI J DESAI,DDS, INC.
- Practice address
- 1800 N Bristol St
#D
Santa Ana, CA 92706-3336 - Phone
- (714) 541-4411
- Fax
- (714) 541-4140
- NPI assigned
- Jul 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janak Desai
- Title
- Secretary
- Phone
- (714) 541-4411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 37812 | CA | Primary |
Addresses
Primary practice location
1800 N Bristol St
#D
Santa Ana, CA 92706-3336
Mailing address
1800 N Bristol St
#D
Santa Ana, CA 92706-3336
Phone (714) 541-4411
National Provider Directory
National Provider DirectoryLocations
1800 N Bristol St
Ste D
Santa Ana, CA 92706
Phone (714) 541-4411
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Santa Ana, CA
- NPI 1154440303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576195200000",
"number": "1649686775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N BRISTOL ST",
"address_2": "#D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063336",
"telephone_number": "714-541-4411",
"fax_number": "714-541-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N BRISTOL ST",
"address_2": "#D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063336",
"telephone_number": "714-541-4411",
"fax_number": "714-541-4140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADHAVI J DESAI,DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-09",
"last_updated": "2019-12-13",
"certification_date": "2019-12-13",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "JANAK",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "714-541-4411"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "37812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.