Organization Active NPI

Gagandeep Pandher DDS Dental Corporation

  • Dentist
  • Pleasanton, CA
National Provider Identifier
1265989289
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62589 Issued in CA
Legal business name
GAGANDEEP PANDHER DDS DENTAL CORPORATION
Practice address
5460 Sunol Blvd
Ste # 5
Pleasanton, CA 94566
Phone
(925) 600-0065
Fax
(925) 600-1005
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Dr. Gagandeep Pandher
Title
Dentist/Owner
Phone
(925) 600-0065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 62589 CA Primary

Addresses

Primary practice location

5460 Sunol Blvd
Ste # 5
Pleasanton, CA 94566

Mailing address

5460 Sunol Blvd
Ste-5
Pleasanton, CA 94566-7752
Phone (925) 600-0065

Other names 1

  • Pleasanton Valley Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

5460 Sunol Blvd
Ste 5
Pleasanton, CA 94566
Phone (925) 880-8400

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1265989289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 SUNOL BLVD",
            "address_2": "STE-5",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667752",
            "telephone_number": "925-600-0065",
            "fax_number": "925-600-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 SUNOL BLVD",
            "address_2": "STE # 5",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94566",
            "telephone_number": "925-600-0065",
            "fax_number": "925-600-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGANDEEP PANDHER DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "PANDHER",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "925-600-0065",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "62589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasanton Valley Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.