Organization Active NPI

Soniya Patidar DMD PC

  • General Practice Dentistry
  • Palm Desert, CA
National Provider Identifier
1972325637
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SONIYA PATIDAR DMD PC
Practice address
41990 Cook St Ste D402
Palm Desert, CA 92211-6102
Phone
(760) 340-0303
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Soniya Patidar, DMDNPI 1184271470
Title
Owner
Phone
(510) 589-0765

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

41990 Cook St Ste D402
Palm Desert, CA 92211-6102

Mailing address

41990 Cook St Ste D402
Palm Desert, CA 92211-6102
Phone (510) 589-0765

Other names 1

  • Desert Dental Spa Doing business as

National Provider Directory

National Provider Directory

Locations

41990 Cook St
Ste D402
Palm Desert, CA 92211
Phone (760) 340-0303

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": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1972325637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE D402",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116102",
            "telephone_number": "510-589-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST STE D402",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116102",
            "telephone_number": "760-340-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIYA PATIDAR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "PATIDAR",
        "authorized_official_first_name": "SONIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-589-0765",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Dental Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.