Organization Active NPI

Dipti M. Patel, DDS, Inc

  • Dentist
  • Riverside, CA
National Provider Identifier
1831412279
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
43231 Issued in CA
Legal business name
DIPTI M. PATEL, DDS, INC
Practice address
4028 Chicago Ave
Riverside, CA 92507-5340
Phone
(951) 328-1166
Fax
(951) 328-1160
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Dipti M Patel, DDSNPI 1336295773
Title
President
Phone
(951) 242-0041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 43231 CA Primary

Addresses

Primary practice location

4028 Chicago Ave
Riverside, CA 92507-5340

Mailing address

14940 Perris Blvd
C
Moreno Valley, CA 92553-7183
Phone (951) 242-0041

National Provider Directory

National Provider Directory

Locations

14940 Perris Blvd
Ste C
Moreno Valley, CA 92553
Phone (951) 242-0041

Practitioners & affiliated clinicians

Practitioners 2

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": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1831412279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14940 PERRIS BLVD",
            "address_2": "C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537183",
            "telephone_number": "951-242-0041",
            "fax_number": "951-242-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 CHICAGO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075340",
            "telephone_number": "951-328-1166",
            "fax_number": "951-328-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPTI M. PATEL, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-242-0041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.