NPIMap

Organization Active NPI

Nijjar Dental Inc.

  • Dental Clinic/Center
  • Fremont, CA
National Provider Identifier
1265760342
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
32979 Issued in CA
Legal business name
NIJJAR DENTAL INC.
Practice address
1895 Mowry Ave Ste 104
Fremont, CA 94538-1700
Phone
(510) 794-7058
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Dr. Maninder Nijjar, DDSNPI 1578658985
Title
President
Phone
(510) 794-7058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 32979 CA Primary

Addresses

Primary practice location

1895 Mowry Ave Ste 104
Fremont, CA 94538-1700

Mailing address

1895 Mowry Ave Ste 104
Fremont, CA 94538-1700
Phone (510) 794-7058

Other names 1

  • M.K. Nijjar DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

1895 Mowry Ave
Ste 104
Fremont, CA 94538
Phone (510) 794-7058

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1265760342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE STE 104",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381700",
            "telephone_number": "510-794-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MOWRY AVE STE 104",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381700",
            "telephone_number": "510-794-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIJJAR DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "NIJJAR",
        "authorized_official_first_name": "MANINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-794-7058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "32979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.K. Nijjar DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.