Organization Active NPI

D Kundra DDS Inc.

  • General Practice Dentistry
  • Petaluma, CA
National Provider Identifier
1114163227
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55871 Issued in CA
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

Updated by the provider on Dec 18, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Blue Rock Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.