Individual provider Active NPI

Anjana V Patel, DDS

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1821158726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42690 Issued in CA
Practice address
617 N Main St
Corona, CA 92880-1467
Phone
(951) 273-3881
Fax
(951) 738-1352
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42690 CA Primary

Addresses

Primary practice location

617 N Main St
Corona, CA 92880-1467

Mailing address

794 Meridian Cir
Corona, CA 92882-8688
Phone (951) 734-3099

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151012000959 CA Order and Referring Only - DentistPractitioner - Dentist 1759690860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42690CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: apatel@direct.westerndental.com

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821158726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 MERIDIAN CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928828688",
            "telephone_number": "951-734-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928801467",
            "telephone_number": "951-273-3881",
            "fax_number": "951-738-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "ANJANA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.