Organization Active NPI

Vaishali Patel DDS, Inc

  • General Practice Dentistry
  • Wilmington, CA
National Provider Identifier
1760667364
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA49973 Issued in CA
Legal business name
VAISHALI PATEL DDS, INC
Practice address
207 W G St
Wilmington, CA 90744-5405
Phone
(310) 549-2400
Fax
(310) 834-0634
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mr. Chris Patel
Title
Manager
Phone
(310) 971-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CA49973 CA Primary

Addresses

Primary practice location

207 W G St
Wilmington, CA 90744-5405

Mailing address

207 W G St
Wilmington, CA 90744-5405
Phone (310) 549-2400

Other identifiers 1

IdentifierTypeStateIssuer
G89646-01OtherCADENTI CAL PROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Vaishali Patel DDS Inc2 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

207 W G St
Wilmington, CA 90744
Phone (310) 549-2400

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1760667364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W G ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445405",
            "telephone_number": "310-549-2400",
            "fax_number": "310-834-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W G ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445405",
            "telephone_number": "310-549-2400",
            "fax_number": "310-834-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAISHALI PATEL DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-971-8178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA49973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL PROVIDER ID",
            "identifier": "G89646-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.