Organization Active NPI

Manpreet S Badyal

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1114357951
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5722 Issued in AZ
Legal business name
MANPREET S BADYAL
Practice address
421 W Hatcher Rd
Phoenix, AZ 85021-2455
Phone
(602) 906-9868
Fax
(602) 906-9864
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Manpreet S BadyalNPI 1265581235
Title
DDS
Phone
(602) 906-9868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D5722 AZ Primary

Addresses

Primary practice location

421 W Hatcher Rd
Phoenix, AZ 85021-2455

Mailing address

421 W Hatcher Rd
Phoenix, AZ 85021-2455
Phone (602) 906-9868

National Provider Directory

National Provider Directory

Locations

421 W Hatcher Rd
Phoenix, AZ 85021
Phone (602) 906-9868

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1114357951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W HATCHER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212455",
            "telephone_number": "602-906-9868",
            "fax_number": "602-906-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W HATCHER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212455",
            "telephone_number": "602-906-9868",
            "fax_number": "602-906-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANPREET S BADYAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "BADYAL",
        "authorized_official_first_name": "MANPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "602-906-9868"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

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