Rutva Dharmendra Patel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS108887 Issued in CA

Practice address

2801 Coffee Rd BLDG B
Modesto, CA 95355-1756

Phone

(209) 578-3184

NPI assigned

Jul 13, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1760161129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 GRANVILLE ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953778872",
            "telephone_number": "302-257-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 COFFEE RD BLDG B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551756",
            "telephone_number": "209-578-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "RUTVA",
        "middle_name": "DHARMENDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS108887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meera Patel, IMF
• Nandan Babubhai Patel, DDS
• Nirali Patel, M.D.
• Nishant U Patel, MD
• Richa Patel, D.D.S
• Shravya Patel
• Tajinder Kaur Patel, PHARMD.
• Tarang Mukeshbhai Patel, DDS
• Utsav Patel, PHARM.D.
• Genesis Paterno Gonzales

• Dentist in Modesto, CA
• Providers in Modesto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.