Active NPI
D Kundra DDS Inc.
- General Practice Dentistry
- Petaluma, CA
National Provider Identifier
1114163227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55871
- Legal business name
- D KUNDRA DDS INC.
- Doing business as
- Petaluma Dental Associates
- Practice address
- 1580 E Washington St
Suite 107
Petaluma, CA 94954-3679 - Phone
- (707) 778-9000
- Fax
- (707) 778-2050
- NPI assigned
- Dec 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darpan Kundra, DDS
- Title
- Dentist/President
- Phone
- (707) 778-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55871 | CA | Primary |
Addresses
Primary practice location
1580 E Washington St
Suite 107
Petaluma, CA 94954-3679
Mailing address
1580 E Washington St
Suite 107
Petaluma, CA 94954-3679
Phone (707) 778-9000
Other names 1
- Petaluma Dental Associates
National Provider Directory
National Provider Directory- Tax ID family
- Blue Rock Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- San Mateo, CA
- NPI 1760812119
Locations
1580 E Washington St
Ste 107
Petaluma, CA 94954
Phone (707) 765-6300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229558400000",
"number": "1114163227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1580 E WASHINGTON ST",
"address_2": "SUITE 107",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543679",
"telephone_number": "707-778-9000",
"fax_number": "707-778-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 E WASHINGTON ST",
"address_2": "SUITE 107",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543679",
"telephone_number": "707-778-9000",
"fax_number": "707-778-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D KUNDRA DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-18",
"last_updated": "2008-12-18",
"status": "A",
"authorized_official_last_name": "KUNDRA",
"authorized_official_first_name": "DARPAN",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "707-778-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Petaluma Dental Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.