Nathan Daniel Palanker, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

103762 Issued in CA

Practice address

299 Juana Ave Ste C
San Leandro, CA 94577-4838

Phone

(510) 352-6266

Fax

(510) 352-6392

NPI assigned

Mar 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benjamin Halpern Dental Corp.

  • Periodontics
  • San Leandro, CA
  • NPI 1184566994
  NPD (past)
• Yen-Tseng Lai DMD Ms, PC

  • Periodontics
  • San Leandro, CA
  • NPI 1396243259
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1134623523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 WRIGHT AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940875250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 JUANA AVE STE C",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774838",
            "telephone_number": "510-352-6266",
            "fax_number": "510-352-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALANKER",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "33792",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "103762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaszmyn Paiste Ponder
• Arthur Abrantes Paiva, LMFT
• CHI-NA Pak, M.D.
• Kimberly Palacios-Mora
• Catharine Palacios
• Risa Palega
• Leor Moshe Paley
• Disha Palimar
• Aimee Elizabeth Palladino
• Jacinda Palmer

• Periodontics in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.