Active NPI
Dhiraj Panjwani
- Dentist
- East Falmouth, MA
National Provider Identifier
1255062634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN1859465
- Practice address
- Seacoast Dental Associates
170 East Falmouth Highway
East Falmouth, MA 02536 - Phone
- (508) 540-2303
- NPI assigned
- Jun 17, 2022
- Last updated
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN1859465 | MA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
Seacoast Dental Associates
170 East Falmouth Highway
East Falmouth, MA 02536
Mailing address
380 Hitchcock Rd Unit 84
Waterbury, CT 06705-3952
Phone (646) 991-7174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859465 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mill Pond Dental Associates LLC | Past | Accepting new patients | |
| Cape Cod Dentistry LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- East Falmouth, MA
- NPI 1821941709
-
- General Practice Dentistry
- East Falmouth, MA
- NPI 1639455454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1255062634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 HITCHCOCK RD UNIT 84",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067053952",
"telephone_number": "646-991-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SEACOAST DENTAL ASSOCIATES",
"address_2": "170 EAST FALMOUTH HIGHWAY",
"city": "EAST FALMOUTH",
"state": "MA",
"postal_code": "02536",
"telephone_number": "508-540-2303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANJWANI",
"first_name": "DHIRAJ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-17",
"last_updated": "2022-09-26",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1859465",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.