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SHIVAM PATEL DMD
NPI 1962387290
Dentist - General Practice in Santa Cruz, CA

Active since August 06, 2025
4100 PORTOLA DR STE 2, SANTA CRUZ, CA 95062(831) 475-4100 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shivam Patel Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIVAM PATEL DMD (NPI 1962387290) is an individual general practice provider in Santa Cruz, California, licensed in California (111841) and active in the NPI registry since August 2025. He maintains a secondary practice location in Tracy.

NPPES Registry Identity

NPI1962387290
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSHIVAM PATELCredential: DMD
Location Address4100 PORTOLA DR STE 2Santa Cruz, CA 95062-4500
Mailing Address6878 Sessions DrSan Jose, CA 95119-1332 · (415) 509-4496
Phone(831) 475-4100
Sole ProprietorYes
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 3, 2025
✔ NPI 1962387290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 111841
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4100 PORTOLA DR STE 2, Santa Cruz, CA 95062
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Secondary Practice Location 1

Location 1510 Whispering Wind Dr Ste 102Tracy, CA 95377-8119 · Phone (209) 830-7032

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SINGH DENTAL GROUP LLC
Clinic/Center (Dental)
4100 PORTOLA DR STE 2
SANTA CRUZ, CA 95062
Santa Cruz County (831) 475-4100
JOSHMAN RAJ SINGH DDS
Dentist (General Practice)
4100 PORTOLA DR STE 2
SANTA CRUZ, CA 95062
Santa Cruz County (831) 475-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shivam Patel's NPI number?

The NPI number for Shivam Patel is 1962387290. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Shivam Patel located?

Shivam Patel practices at 4100 Portola Dr Ste 2, Santa Cruz, CA 95062. The listed phone number is (831) 475-4100.

What is Shivam Patel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shivam Patel was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.