Eva Desai, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12321 Issued in NC

Practice address

1215 W Gate Dr Ste 180
Leland, NC 28451-0437

Phone

(910) 663-4405

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

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

Electronic endpoints 1

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1669042925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W GATE DR STE 180",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510437",
            "telephone_number": "910-663-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W GATE DR STE 180",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284510437",
            "telephone_number": "910-663-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "EVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": ".url",
            "affiliation": "N",
            "address_1": "1215 W Gate Dr Ste 180",
            "city": "Leland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284510437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darshan Dave, MD
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• Ashley Renee Deremer, PT, DPT
• Jared Derossi, PHARMD
• Devinn L. Geeson DDS, PLLC (Complete Coastal Dentistry)
• Kara A Diefenderfer, MS
• Dietitian Kaitlyn LLC
• Deanna Diohep, OT
• Alissa Lynn Dion

• General Practice Dentistry in Leland, NC
• Providers in Leland, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.