Active NPI
Hiral Desai, DDS
- Dentist
- Tustin, CA
National Provider Identifier
1770129926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104212
- Practice address
- 604 E 1St St
Tustin, CA 92780-3418 - Phone
- (145) 059-4627
- Fax
- (714) 505-2559
- NPI assigned
- Nov 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 104212 | CA | |
| Customized Equipment (DME) | 332BC3200X | |||
| Orofacial Pain Dentistry | 1223X2210X | 104212 | CA | |
| Periodontics | 1223P0300X | 104212 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 104212 | CA | |
| Dentist | 122300000X | 104212 | CA | Primary |
Addresses
Primary practice location
604 E 1St St
Tustin, CA 92780-3418
Mailing address
604 E 1St St
Tustin, CA 92780-3418
Phone (714) 505-9462
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230706001365 | CA | Practitioner - Dentist | 9234597741 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104212 | CA | MD | Orofacial Pain Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snoozx-Ai | General Practice | Current | Accepting new patients |
Locations
604 E 1st St
Tustin, CA 92780
Phone (424) 303-1665
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1770129926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 E 1ST ST",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803418",
"telephone_number": "714-505-9462",
"fax_number": "714-505-2559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 E 1ST ST",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803418",
"telephone_number": "145-059-4627",
"fax_number": "714-505-2559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "HIRAL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-22",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "104212",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "CA",
"license": "104212",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "104212",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "104212",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.