Individual provider Active NPI

Manpreet Singh Badyal, DDS

  • General Practice Dentistry
  • Chandler, AZ
National Provider Identifier
1265581235
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5722 Issued in AZ
Practice address
590 N Alma School Rd Ste 5
Chandler, AZ 85224-4389
Phone
(480) 782-5477
Fax
(480) 917-3192
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5722 AZ Primary

Addresses

Primary practice location

590 N Alma School Rd Ste 5
Chandler, AZ 85224-4389

Mailing address

590 N Alma School Rd Ste 5
Chandler, AZ 85224-4389
Phone (480) 205-6961

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

LicenseStateTypeSpecialty
5722AZMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manpreet S Badyal Past Accepting new patients
Arizona Family Dental, PLLC General Practice 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1265581235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244389",
            "telephone_number": "480-205-6961",
            "fax_number": "602-906-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N ALMA SCHOOL RD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244389",
            "telephone_number": "480-782-5477",
            "fax_number": "480-917-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADYAL",
        "first_name": "MANPREET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.