Individual provider Active NPI

Bela Rambhai Patel, D.D.S

  • Dentist
  • San Jose, CA
National Provider Identifier
1689926297
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61823 Issued in CA
Practice address
1172 Murphy Ave
Suite 140
San Jose, CA 95131-2418
Phone
(408) 436-8565
NPI assigned
Oct 5, 2012
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 61823 CA Primary

Addresses

Primary practice location

1172 Murphy Ave
Suite 140
San Jose, CA 95131-2418

Mailing address

1775 Milmont Dr
Apt. R207
Milpitas, CA 95035-3042
Phone (714) 612-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260224001351 CA Order and Referring Only - DentistPractitioner - Dentist 0648751099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61823CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1689926297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 MILMONT DR",
            "address_2": "APT. R207",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353042",
            "telephone_number": "714-612-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 MURPHY AVE",
            "address_2": "SUITE 140",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312418",
            "telephone_number": "408-436-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BELA",
        "middle_name": "RAMBHAI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.