NPIMap

Organization Active NPI

Nandita Panchal DDS, a Professional Dental Corporation

Doing business as Glo Dental, Dental Group of Drs Panchal

  • Dental Clinic/Center
  • Corcoran, CA
National Provider Identifier
1356838528
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
64274 Issued in CA
Legal business name
NANDITA PANCHAL DDS, A PROFESSIONAL DENTAL CORPORATION
Doing business as
Glo Dental, Dental Group of Drs Panchal
Practice address
933 Whitley Ave
Corcoran, CA 93212-2429
Phone
(559) 762-7587
Fax
(559) 762-7118
NPI assigned
Apr 13, 2018
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Nandita Panchal, DDSNPI 1538559877
Title
President
Phone
(559) 762-7587

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
Dental Clinic/Center 261QD0000X 64274 CA Primary

Addresses

Primary practice location

933 Whitley Ave
Corcoran, CA 93212-2429

Mailing address

933 Whitley Ave
Corcoran, CA 93212-2429
Phone (559) 762-7587

Other names 1

  • Glo Dental, Dental Group of Drs Panchal Doing business as

National Provider Directory

National Provider Directory

Locations

933 Whitley Ave
Corcoran, CA 93212
Phone (559) 762-7587

Practitioners & affiliated clinicians

Practitioners 3

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": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1356838528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 WHITLEY AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122429",
            "telephone_number": "559-762-7587",
            "fax_number": "559-762-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 WHITLEY AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122429",
            "telephone_number": "559-762-7587",
            "fax_number": "559-762-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANDITA PANCHAL DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-762-7587",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glo Dental, Dental Group of Drs Panchal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corcoran, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.