Nisha M Patel, DDS INC
Clinic/Center, Dental in Burbank, CA. Organization (NPI-2).
NPI number1053856757
StatusActive
Last updated in NPPESJan 4, 2017
Details
- NPI
- 1053856757
- Entity type
- Organization (NPI-2)
- Legal business name
- Nisha M Patel, DDS INC
- Organization subpart
- No
- Enumeration date
- Jan 4, 2017
- Last updated
- Jan 4, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 44431 | CA | Yes |
Other names
- Alameda Family & Cosmetic Dental Practice (Doing Business As)
Practice location
905 S Lake St# 102
Burbank, CA 91502-2436
Phone 818-843-6411 · Fax 818-843-6416
Mailing address
905 S Lake St# 102
Burbank, CA 91502-2436
Phone 818-843-6411 · Fax 818-843-6416
Authorized official
Nisha M Patel
Owner/President
8188436411
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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