Pankaj Narkhede D D S Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

45155 Issued in CA

Legal business name

PANKAJ NARKHEDE D D S INC

Practice address

24602 Raymond Way Ste L
Lake Forest, CA 92630-4461

Phone

(949) 770-0966

Fax

(949) 770-2899

NPI assigned

May 24, 2018

Last updated

May 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pankaj Narkhede, DDSNPI 1356368914

Title

Owner

Phone

(949) 770-0966

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pankaj Ramdas Narkhede, D.D.S.; M.D.S.

  • General Practice Dentistry
  • Lake Forest, CA
  • NPI 1356368914
  Authorized official Same address or phone

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1174014179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24602 RAYMOND WAY STE L",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304461",
            "telephone_number": "949-770-0966",
            "fax_number": "949-770-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24602 RAYMOND WAY STE L",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304461",
            "telephone_number": "949-770-0966",
            "fax_number": "949-770-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANKAJ NARKHEDE D D S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "NARKHEDE",
        "authorized_official_first_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-770-0966",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "45155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.