NPIMap

Organization Active NPI

Pravinchandra Makadia DDS

  • General Practice Dentistry
  • Pomona, CA
National Provider Identifier
1003015082
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52425 Issued in CA
Legal business name
PRAVINCHANDRA MAKADIA DDS
Practice address
826 E Mission Blvd
Pomona, CA 91766-2044
Phone
(909) 622-1817
Fax
(909) 622-8750
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Dr. Pravin K Makadia, D.D.S,
Title
Owner
Phone
(909) 622-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 52425 CA Primary

Addresses

Primary practice location

826 E Mission Blvd
Pomona, CA 91766-2044

Mailing address

826 E Mission Blvd
Pomona, CA 91766-2044
Phone (909) 622-1817

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1003015082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E MISSION BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662044",
            "telephone_number": "909-622-1817",
            "fax_number": "909-622-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 E MISSION BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662044",
            "telephone_number": "909-622-1817",
            "fax_number": "909-622-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVINCHANDRA MAKADIA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "MAKADIA",
        "authorized_official_first_name": "PRAVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-622-1817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S,"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.