Active NPI
Sachin P Desai DDS Incorporated
- General Practice Dentistry
- Glendora, CA
National Provider Identifier
1760643100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49298
- Legal business name
- SACHIN P DESAI DDS INCORPORATED
- Practice address
- 210 S Grand Ave
Suite # 308
Glendora, CA 91741-4205 - Phone
- (626) 914-0500
- NPI assigned
- Jun 18, 2008
- Last updated
- May 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sachin P Desai, DDS
- Title
- President
- Phone
- (626) 914-0500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49298 | CA | Primary |
Addresses
Primary practice location
210 S Grand Ave
Suite # 308
Glendora, CA 91741-4205
Mailing address
210 S Grand Ave
Suite # 308
Glendora, CA 91741-4205
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Glendora, CA
- NPI 1720168552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557705600000",
"number": "1760643100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S GRAND AVE",
"address_2": "SUITE # 308",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 S GRAND AVE",
"address_2": "SUITE # 308",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917414205",
"telephone_number": "626-914-0500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SACHIN P DESAI DDS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-18",
"last_updated": "2019-05-13",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "SACHIN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-914-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.