Active NPI
Baban Dhariwal DDS PA Inc
- Dental Clinic/Center
- Folsom, CA
National Provider Identifier
1306200779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- BABAN DHARIWAL DDS PA INC
- Practice address
- 158 Red Ridge CT
Folsom, CA 95630-7421 - Phone
- (916) 693-4960
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Baban Dhariwal, DDS
- Title
- President
- Phone
- (916) 693-4960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
158 Red Ridge CT
Folsom, CA 95630-7421
Mailing address
901 Sunrise Ave
Roseville, CA 95661-4519
Phone (916) 693-4960
Other names 1
- Sunrise Family Dentistry
National Provider Directory
National Provider Directory- Tax ID family
- Baban Dhariwal DDS PA Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Granite Bay, CA
- NPI 1801248950
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Granite Bay, CA
- NPI 1104951557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1306200779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 SUNRISE AVE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614519",
"telephone_number": "916-693-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 RED RIDGE CT",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307421",
"telephone_number": "916-693-4960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABAN DHARIWAL DDS PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "DHARIWAL",
"authorized_official_first_name": "BABAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-693-4960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.