Chet Desai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36049 Issued in CA

Practice address

947S Anaheim Blvd 110
Anaheim, CA 92805-8516

Phone

(714) 774-8640

Fax

(714) 774-7460

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1730107848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947S ANAHEIM BLVD 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928058516",
            "telephone_number": "714-774-8640",
            "fax_number": "714-774-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947S ANAHEIM BLVD 110",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928058516",
            "telephone_number": "714-774-8640",
            "fax_number": "714-774-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "CHET",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Derado
• Marilyn M. Deridder, APRN
• Nikki Jo Derleth
• Derm Lounge PC
• Derm Lounge PC
• Janki Desai, MS
• Jessica Saurabh Desai
• Naushil Desai, D.M.D.
• Yasmin Maia Desai, DDS
• Xenia Marissa Desantiago

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.