Pathak-Paudel Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PATHAK-PAUDEL DENTAL PC

Practice address

1210 E Park St Ste 106
Hollister, CA 95023-5317

Phone

(831) 902-2829

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Ichhya Pathak-PaudelNPI 1881032944

Title

Owner

Phone

(831) 902-2829

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ichhya Pathak-Paudel, DMD

  • General Practice Dentistry
  • Hollister, CA
  • NPI 1881032944
  NPD Authorized official
• Niyati Jani

  • General Practice Dentistry
  • Hollister, CA
  • NPI 1841991577
  NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1366024432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E PARK ST STE 106",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235317",
            "telephone_number": "831-902-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHAK-PAUDEL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "PATHAK-PAUDEL",
        "authorized_official_first_name": "ICHHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-902-2829"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Clinics
• Kristine Amber Padilla
• Gianni Paredez
• Isla Paredez
• Sung Jin Park, PA-C
• Ichhya Pathak-Paudel, DMD
• Danielle Patino
• Paul J Percival M D Medical Corporation
• Catherine Pavoni
• Beatriz Penilla

• General Practice Dentistry in Hollister, CA
• Providers in Hollister, 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 Jun 20, 2023; 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.