Organization Active NPI

Jilbert and Puri Dental Corporation

  • Dental Clinic/Center
  • Camarillo, CA
National Provider Identifier
1730899154
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JILBERT AND PURI DENTAL CORPORATION
Practice address
2107 Pickwick Dr # 6427
Camarillo, CA 93010-6427
Phone
(805) 445-1333
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Anish Puri, DDSNPI 1053037903
Title
Owner
Phone
(805) 229-1252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2107 Pickwick Dr # 6427
Camarillo, CA 93010-6427

Mailing address

2107 Pickwick Dr # 6427
Camarillo, CA 93010-6427
Phone (805) 445-1333

National Provider Directory

National Provider Directory
Tax ID family
Clove Dental Hillview2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2107 Pickwick Dr
#6427
Camarillo, CA 93010
Phone (805) 445-1333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1730899154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PICKWICK DR # 6427",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106427",
            "telephone_number": "805-445-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 PICKWICK DR # 6427",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106427",
            "telephone_number": "805-445-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILBERT AND PURI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-229-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.