Rhutvi Ganpatrai Virani, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

103008 Issued in CA

Practice address

10928 Trinity Pkwy
Stockton, CA 95219-7230

Phone

(209) 474-8000

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1982182523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 SHORELINE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952194591",
            "telephone_number": "408-680-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10928 TRINITY PKWY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197230",
            "telephone_number": "209-474-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRANI",
        "first_name": "RHUTVI",
        "middle_name": "GANPATRAI",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103008",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNIA",
            "identifier": "103008",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Michael Vincelet
• Amber Vincent
• Jonathan Louis Vincze, DO
• Lisa Vine, LCSW
• Vinod C Bhan
• Jodie Viray
• Jannet Virgen
• Maninder P Virk, PHARM.D.
• Jennifer Virrey, RPSGT
• Flora Ramones Visaya

• Dentist in Stockton, CA
• Providers in Stockton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.