Active NPI
Kunjal R Patel
- General Practice Dentistry
- Fort Jones, CA
National Provider Identifier
1790150571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34037
- Practice address
- 9024 Sniktaw LN
Fort Jones, CA 96032-9408 - Phone
- (530) 464-4708
- NPI assigned
- Dec 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 34037 | CA | Primary |
Addresses
Primary practice location
9024 Sniktaw LN
Fort Jones, CA 96032-9408
Mailing address
9024 Sniktaw LN
Fort Jones, CA 96032-1613
Phone (530) 468-4470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34037 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1790150571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9024 SNIKTAW LN",
"city": "FORT JONES",
"state": "CA",
"postal_code": "960321613",
"telephone_number": "530-468-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9024 SNIKTAW LN",
"city": "FORT JONES",
"state": "CA",
"postal_code": "960329408",
"telephone_number": "530-464-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "KUNJAL",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-05",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "34037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Jones, CA
- Amber Lee Hunter, FNP-C
- Douglas Scott Korcek, P.T.
- Laurie Jean Laquey, MFTI
- Marble Mountain Health
- Mark Grant Medinnus, DDS
- Quartz Valley Indian Reservation (Anav Tribal Health Clinic)
- Jacob S Rodgers
- Cynthia Victoria Samuel, RADT
- Scott Valley Physical Therapy and Fitness Center, PC
- Scott Valley Unified School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.