Patao Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PATAO DENTAL CORPORATION

Doing business as

Derek Patao DDS

Practice address

932 N Brand Blvd Ste a
Glendale, CA 91202-2905

Phone

(818) 843-4322

NPI assigned

Dec 20, 2021

Last updated

May 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek H Patao, DDSNPI 1730792797

Title

President

Phone

(818) 515-4386

Specialties & licenses 1

Addresses

Other names 1

• Derek Patao DDS Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Henry Patao, DDS

  • Dentist
  • Glendale, CA
  • NPI 1730792797
  NPD Authorized official

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1679233407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 N BRAND BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 N BRAND BLVD STE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022905",
            "telephone_number": "818-843-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATAO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "PATAO",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-515-4386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Glendale",
            "affiliation": "N",
            "address_1": "932 N Brand Blvd Ste A",
            "city": "Glendale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "912022905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Derek Patao DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Derek Patao DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hrachya Paruyryan, M.D.
• Parvaneh Rafaeloff, MD, Inc.
• Edmund O Pascual, MD
• Noune Pashinian, MD
• Rommel Lato Pastor, RDA
• Derek Henry Patao, DDS
• Ami N Patel, M.D.
• Neha Patel
• Priya P Patel, PA-C
• Rupeshbhai A. Patel, D.C.

• Dental Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.