NPIMap

Organization Active NPI

Pandhoh Dental Corporation

Doing business as Walnut Smiles

  • General Practice Dentistry
  • City of Industry, CA
National Provider Identifier
1184887382
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PANDHOH DENTAL CORPORATION
Doing business as
Walnut Smiles
Practice address
21750 Valley Blvd
Suite C
City of Industry, CA 91789
Phone
(909) 595-0807
Fax
(909) 598-3670
NPI assigned
Jul 8, 2008
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Sumeet S Pandhoh, DDS
Title
Owner Doctor
Phone
(909) 595-0807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

21750 Valley Blvd
Suite C
City of Industry, CA 91789

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 368-2084

Other names 1

  • WALNUT SMILES Doing business as

National Provider Directory

National Provider Directory

Locations

21750 Valley Blvd
Ste C
City of Industry, CA 91789
Phone (909) 345-1708

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1184887382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-368-2084",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21750 VALLEY BLVD",
            "address_2": "SUITE C",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-595-0807",
            "fax_number": "909-598-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANDHOH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "PANDHOH",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "909-595-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALNUT SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.