Individual provider Active NPI

Kirit Ramanbhai Patel, DDS

  • General Practice Dentistry
  • Palm Springs, CA
National Provider Identifier
1891859666
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50667 Issued in CA
Practice address
174 S Sunrise Way
Palm Springs, CA 92262-6737
Phone
(760) 322-1002
Fax
(760) 322-6518
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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 50667 CA Primary

Addresses

Primary practice location

174 S Sunrise Way
Palm Springs, CA 92262-6737

Mailing address

34043 Golden Crown Way
Yucaipa, CA 92399-6966
Phone (909) 790-6035

Other practice location 1

180 E Palm Canyon Dr
Palm Springs, CA 92264-8822
Phone (760) 322-1002

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
I20160107003071 CA Order and Referring Only - DentistPractitioner - Dentist 0244532257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50667CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirit Patel DDS Inc General Practice Past Accepting new patients

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1891859666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34043 GOLDEN CROWN WAY",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923996966",
            "telephone_number": "909-790-6035",
            "fax_number": "760-322-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S SUNRISE WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626737",
            "telephone_number": "760-322-1002",
            "fax_number": "760-322-6518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 E Palm Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922648822",
            "country_code": "US",
            "telephone_number": "760-322-1002",
            "fax_number": "760-322-6518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KIRIT",
        "middle_name": "RAMANBHAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.