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1265002893 NPI number — PRARTHIT HEMENDRAKUMAR MEHTA DDS

NPI Number: 1265002893
Health Care Provider/Practitioner: PRARTHIT HEMENDRAKUMAR MEHTA DDS

Information about “1265002893” NPI (PRARTHIT HEMENDRAKUMAR MEHTA DDS) exists in 1265002893 in HTML format HTML  |  1265002893 in plain Text format TXT  |  1265002893 in PDF (Portable Document Format) PDF  |  1265002893 in an XML format XML  formats.

NPI Number : 1265002893 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1265002893",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MEHTA",
    "FirstName": "PRARTHIT",
    "MiddleName": "HEMENDRAKUMAR",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24929 PROSPECT AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOMA LINDA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92354-2811",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-228-8053",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "260 W FOOTHILL BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIALTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92376-5048",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-546-7064",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/27/2021",
    "LastUpdateDate": "08/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "106308",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "DB-2025-0113",
          "LicenseNumberStateCode": "NM",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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