Individual provider Active NPI

Tarun Padmani

  • Pediatric Dentistry
  • Anaheim, CA
National Provider Identifier
1295110567
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
101547 Issued in CA
Practice address
735 S Dove Tree LN
Anaheim, CA 92808-1421
Phone
(714) 388-8804
NPI assigned
Jul 28, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 101547 CA Primary

Addresses

Primary practice location

735 S Dove Tree LN
Anaheim, CA 92808-1421

Mailing address

735 S Dove Tree LN
Anaheim, CA 92808-1421
Phone (714) 388-8804

Other identifiers 1

IdentifierTypeStateIssuer
101547OtherCACALIFORNIA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003891 CA Order and Referring Only - DentistPractitioner - Dentist 2668827148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101547CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tarun Padmani DDS, Inc Pediatric Dentistry Current Accepting new patients

Organizations & group practices 1

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295110567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 S DOVE TREE LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081421",
            "telephone_number": "714-388-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 S DOVE TREE LN",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081421",
            "telephone_number": "714-388-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADMANI",
        "first_name": "TARUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "101547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "101547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.