Pooja Patel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS105818 Issued in CA

Practice address

2940 Garretson Ave
Corona, CA 92881-3520

Phone

(315) 383-8559

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By the provider in NPPES

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": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1770171415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 GARRETSON AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813520",
            "telephone_number": "315-383-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 GARRETSON AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813520",
            "telephone_number": "315-383-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS105818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mittal Ashokkumar Patel, DDS
• Mruga Rajnikant Patel, RDH
• Nikki Patel, PHD
• Niraj Rajnikant Patel, DDS
• Pooja Patel
• Priya Patel, PA-C
• Rajeshkumar B Patel, R.PH
• Rajnikant M Patel, DDS
• Rakesh R Patel, D.D.S.
• Rishi M Patel, M.D.

• General Practice Dentistry in Corona, CA
• Providers in Corona, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.