Individual provider Active NPI

Ajitkumar Patel

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1871306415
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38897 Issued in CA
Practice address
1383 N Citrus Ave
Covina, CA 91722-1748
Phone
(626) 727-2118
NPI assigned
Jan 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 38897 CA Primary

Addresses

Primary practice location

1383 N Citrus Ave
Covina, CA 91722-1748

Mailing address

1383 N Citrus Ave
Covina, CA 91722-1748
Phone (626) 727-2118

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

LicenseStateTypeSpecialty
38897CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ajit Patel DDS Inc CurrentSince Feb 16, 2025 Accepting new patients
Kenneth a Karamyan DDS Inc General Practice CurrentSince Feb 2, 2025 Accepting new patients

Locations

1383 N Citrus Ave
Covina, CA 91722
Phone (626) 727-2118

Organizations & group practices 2

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1871306415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 N CITRUS AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221748",
            "telephone_number": "626-727-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 N CITRUS AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221748",
            "telephone_number": "626-727-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AJITKUMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.