Organization Active NPI

Pattanayak Dental Corp

Doing business as Patt dental care

  • Dentist
  • Pleasanton, CA
National Provider Identifier
1285972182
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59207 Issued in CA
Legal business name
PATTANAYAK DENTAL CORP
Doing business as
Patt dental care
Practice address
1400 Santa Rita Rd
#C
Pleasanton, CA 94566-5666
Phone
(925) 485-9595
Fax
(925) 485-9590
NPI assigned
Jan 28, 2013
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Dr. Pranatee Pattanayak, DDSNPI 1811061344
Title
President
Phone
(720) 212-3414

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
Dentist 122300000X 59207 CA Primary

Addresses

Primary practice location

1400 Santa Rita Rd
#C
Pleasanton, CA 94566-5666

Mailing address

1400 Santa Rita Rd Ste C
Pleasanton, CA 94566-5663
Phone (925) 485-9595

Other names 1

  • Patt dental care Doing business as

National Provider Directory

National Provider Directory

Locations

1400 Santa Rita Rd
Ste C
Pleasanton, CA 94566
Phone (925) 485-9595

Practitioners & affiliated clinicians

Practitioners 1

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": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1285972182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SANTA RITA RD STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665663",
            "telephone_number": "925-485-9595",
            "fax_number": "925-485-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SANTA RITA RD",
            "address_2": "#C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665666",
            "telephone_number": "925-485-9595",
            "fax_number": "925-485-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTANAYAK DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "PATTANAYAK",
        "authorized_official_first_name": "PRANATEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-212-3414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patt 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 Jan 28, 2013; 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.