Terrell Fred Pannkuk, D.D.S., M.SC.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

32445 Issued in CA

Practice address

9 East Pedregosa Street
Suite B
Santa Barbara, CA 93101

Phone

(805) 682-0055

Fax

(805) 682-6451

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1093925323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EAST PEDREGOSA STREET",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-682-0055",
            "fax_number": "805-682-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAST PEDREGOSA STREET",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "93101",
            "telephone_number": "805-682-0055",
            "fax_number": "805-682-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNKUK",
        "first_name": "TERRELL",
        "middle_name": "FRED",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.SC.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "32445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U4632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin Stanton Palmer Jr., DDS
• Pamela Lee MD Inc
• Dinkae Robin Pan
• Sarah Panameno
• Elizabeth Pandian, M.D.
• Frances N Panteleakos, PH.D.
• Nicholas Papageorge
• Lisa Pappas, D.C.
• Rodney Romine Paragas, M.D.
• Rachel Parayno

• Endodontics in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.