NPIMap

Organization Active NPI

Anish Puri DDS Inc

Doing business as Clove Dental Marin

  • Dentist
  • Thousand Oaks, CA
National Provider Identifier
1831965516
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANISH PURI DDS INC
Doing business as
Clove Dental Marin
Practice address
509 Marin St Ste 220
Thousand Oaks, CA 91360-4230
Phone
(805) 374-8484
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Dr. Anish Puri, DDSNPI 1053037903
Title
Ceo
Phone
(805) 229-1252

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 Primary

Addresses

Primary practice location

509 Marin St Ste 220
Thousand Oaks, CA 91360-4230

Mailing address

509 Marin St Ste 220
Thousand Oaks, CA 91360-4230

Other names 1

  • Clove Dental Marin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anish Puri DDS Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1831965516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MARIN ST STE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN ST STE 220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604230",
            "telephone_number": "805-374-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISH PURI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "PURI",
        "authorized_official_first_name": "ANISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-229-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clove Dental Marin",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clove Dental Marin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.