Individual provider Active NPI

Sumeet S Pandhoh, DDS

  • General Practice Dentistry
  • Foothill Ranch, CA
National Provider Identifier
1306953229
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51507 Issued in CA
Practice address
45 Auto Center Drive
Ste. 110
Foothill Ranch, CA 92610
Phone
(949) 588-5906
Fax
(949) 588-6356
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11142 OR
General Practice Dentistry 1223G0001X 51507 CA Primary

Addresses

Primary practice location

45 Auto Center Drive
Ste. 110
Foothill Ranch, CA 92610

Mailing address

2860 Michelle
2ND Floor
Irvine, CA 92606-1009
Phone (714) 508-3600

Other practice location 1

4823 Meadows Rd Ste 131
Lake Oswego, OR 97035-2622
Phone (503) 929-8463

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
I20150825002898 CA Order and Referring Only - DentistPractitioner - Dentist 2163738980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11142ORMDGeneral Practice Dentistry
51507CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reagan and Pandhoh Dental Corporation General Practice Past 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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1306953229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE",
            "address_2": "2ND FLOOR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061009",
            "telephone_number": "714-508-3600",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 AUTO CENTER DRIVE",
            "address_2": "STE. 110",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "92610",
            "telephone_number": "949-588-5906",
            "fax_number": "949-588-6356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4823 Meadows Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970352622",
            "country_code": "US",
            "telephone_number": "503-929-8463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDHOH",
        "first_name": "SUMEET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11142",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foothill Ranch, CA

Sources for this page

Verify at the official NPI Registry.