Desai & Patel DDS Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37000 Issued in CA

Legal business name

DESAI & PATEL DDS INC.

Doing business as

Lakeshore Village Dental Group

Practice address

23581 Sunnymead Ranch Pkwy Ste 124
Moreno Valley, CA 92557-2868

Phone

(951) 601-1000

Fax

(951) 601-3519

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Makbulahmed I Patel, DDS

Title

Secretary

Phone

(951) 601-1000

Specialties & licenses 1

Addresses

Other names 1

• Lakeshore Village Dental Group Doing business as

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851501795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23581 SUNNYMEAD RANCH PKWY STE 124",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572868",
            "telephone_number": "951-601-1000",
            "fax_number": "951-601-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23581 SUNNYMEAD RANCH PKWY STE 124",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925572868",
            "telephone_number": "951-601-1000",
            "fax_number": "951-601-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAI & PATEL DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAKBULAHMED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "951-601-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Village Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, 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 Aug 22, 2020; 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.