Active NPI
Panadda Tiempetpaisal, DDS
- Dentist
- Colton, CA
National Provider Identifier
1083820096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47328
- Practice address
- 1080 E Washington St
Ste B
Colton, CA 92324 - Phone
- (909) 738-9099
- Fax
- (909) 824-1677
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47328 | CA | Primary |
Addresses
Primary practice location
1080 E Washington St
Ste B
Colton, CA 92324
Mailing address
199 Oldenburg Lane
Norco, CA 92860
Phone (951) 734-4550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P. Tiempetpaisal DDS Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Corona, CA
- NPI 1801039284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083820096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 OLDENBURG LANE",
"city": "NORCO",
"state": "CA",
"postal_code": "92860",
"telephone_number": "951-734-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 E WASHINGTON ST",
"address_2": "STE B",
"city": "COLTON",
"state": "CA",
"postal_code": "92324",
"telephone_number": "909-738-9099",
"fax_number": "909-824-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIEMPETPAISAL",
"first_name": "PANADDA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.