Prakash Katbamna Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49557 Issued in CA

Legal business name

PRAKASH KATBAMNA DENTAL CORP.

Doing business as

noble dental office

Practice address

590 E Foothill Blvd
Azusa, CA 91702-2542

Phone

(626) 969-1116

Fax

(626) 969-0737

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prakash Amratlal Katbamna, D.D.S.

Title

President

Phone

(626) 969-1116

Specialties & licenses 1

Addresses

Other names 1

• noble dental office Doing business as

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1356471320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022542",
            "telephone_number": "626-969-1116",
            "fax_number": "626-969-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E FOOTHILL BLVD",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022542",
            "telephone_number": "626-969-1116",
            "fax_number": "626-969-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAKASH KATBAMNA DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "KATBAMNA",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "AMRATLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-969-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "noble dental office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phuoc Huu Nguyen, MD, Inc.
• Ping-Lin Ben Chung, DDS, DMSC, Inc
• Pmed3
• Frances Antoinette Pobre, AGNP
• Jacquelyn Postell, PSY.D
• Pueblo Medical Associates Inc.
• Peter Quan
• Roberto Quintero III
• Marisa Jean Quon, MSN, APRN, FNP-BC
• Alvaro Guillermo Ramirez Jr.

• General Practice Dentistry in Azusa, CA
• Providers in Azusa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.