PB Healthcare SVCS, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DN16698 Issued in FL

Legal business name

PB HEALTHCARE SVCS, INC

Practice address

50 Cypress Point Pkwy
Suite A3
Palm Coast, FL 32164-2500

Phone

(386) 445-0977

Fax

(386) 445-0579

NPI assigned

Jan 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Parminder S Mahal, M.D.

Title

Vice President

Phone

(386) 445-0977

Specialties & licenses 2

Addresses

Other names 1

• Palm Coast Family Dentistry & Medicine Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• PB Healthcare SVCS II LLC

  • Family Medicine Physician
  • Palm Coast, FL
  • NPI 1710297072
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1083945984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE A3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-445-0977",
            "fax_number": "386-445-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE A3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-445-0977",
            "fax_number": "386-445-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB HEALTHCARE SVCS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "MAHAL",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "386-445-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16698",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Coast Family Dentistry & Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alta Parsons
• Michael John Parsons, MD
• Patricia McEwen Ma CCC-SLP LLC
• Patricia Modad, MD, PA
• PB Healthcare SVCS II LLC
• Pco Operations, LP
• Peaceful Home Alf LLC
• David Pearson, D.C.
• Pediatrics in North Florida PA
• Jamie Peiffer

• Dentist in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.