Individual provider Active NPI

Purna Patel, DDS

  • General Practice Dentistry
  • Rocklin, CA
National Provider Identifier
1679146476
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
110673 Issued in CA
Practice address
4750 Rocklin Rd Ste 100
Rocklin, CA 95677-4308
Phone
(916) 315-3558
NPI assigned
Jul 20, 2021
Last updated
Jul 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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 110673 CA Primary

Addresses

Primary practice location

4750 Rocklin Rd Ste 100
Rocklin, CA 95677-4308

Mailing address

3690 Duckhorn Dr Apt 3059
Sacramento, CA 95834-1330
Phone (910) 315-7562

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amin S. DDS Corporation General Practice CurrentSince Jul 22, 2025 Accepting new patients
Lee and Dubanski Dental Corporation General Practice PastSince Jul 22, 2025 Accepting new patients

Locations

4750 Rocklin Rd
Ste 100
Rocklin, CA 95677
Phone (916) 315-3558

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1679146476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 DUCKHORN DR APT 3059",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341330",
            "telephone_number": "910-315-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 ROCKLIN RD STE 100",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956774308",
            "telephone_number": "916-315-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "PURNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "110673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.