Organization Active NPI

Nanda Specialists: a Dental Group

  • Pediatric Dentistry
  • Ventura, CA
National Provider Identifier
1073223194
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
NANDA SPECIALISTS: A DENTAL GROUP
Practice address
3088 Telegraph Rd Ste a
Ventura, CA 93003-3235
Phone
(907) 821-1992
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Patricia McClory Nanda, DMDNPI 1669888004
Title
President
Phone
(907) 821-1992

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3088 Telegraph Rd Ste a
Ventura, CA 93003-3235

Mailing address

2111 Kingsbridge Way
Oxnard, CA 93035-3730
Phone (907) 821-1992

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1073223194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 KINGSBRIDGE WAY",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930353730",
            "telephone_number": "907-821-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 TELEGRAPH RD STE A",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033235",
            "telephone_number": "907-821-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDA SPECIALISTS: A DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "NANDA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MCCLORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-821-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.