NPIMap

Organization Active NPI

Satyen Desai Dental Corporation

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1992054308
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SATYEN DESAI DENTAL CORPORATION
Practice address
1404 Mitchell Rd
Modesto, CA 95351-4901
Phone
(209) 537-7878
Fax
(209) 537-7916
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Dr. Minal S Desai, DDSNPI 1063550846
Title
Ceo / Owner
Phone
(209) 380-2643

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

1404 Mitchell Rd
Modesto, CA 95351-4901

Mailing address

1404 Mitchell Rd
Modesto, CA 95351-4901
Phone (209) 537-7878

Other names 1

  • kids world dental Doing business as

National Provider Directory

National Provider Directory

Locations

1404 Mitchell Rd
Modesto, CA 95351
Phone (209) 537-7878

1401 Mitchell Rd
Modesto, CA 95351

Practitioners & affiliated clinicians

Practitioners 5

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": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1992054308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 MITCHELL RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514901",
            "telephone_number": "209-537-7878",
            "fax_number": "209-537-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 MITCHELL RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514901",
            "telephone_number": "209-537-7878",
            "fax_number": "209-537-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATYEN DESAI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "MINAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO  / OWNER",
        "authorized_official_telephone_number": "209-380-2643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": "kids world dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.