Organization Active NPI

Madhavi J Desai,DDS, Inc.

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1649686775
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37812 Issued in CA
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

Updated by the provider on Dec 13, 2019

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.