Pravinchandra K Makadia, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52425 Issued in CA

Practice address

826 E Mission Blvd
Pomona, CA 91766-2044

Phone

(909) 622-1817

Fax

(909) 622-8750

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Pravinchandra Makadia Dental Corporation

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1023722600
  NPD
• Pravinchandra Makadia DDS

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1003015082
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366476327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 E MISSION BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662044",
            "telephone_number": "909-622-1817",
            "fax_number": "909-622-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 E MISSION BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662044",
            "telephone_number": "909-622-1817",
            "fax_number": "909-622-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "PRAVINCHANDRA",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D52425",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ly Mai
• Sang Jimmy Mai
• Kimberly Marene Main, RN
• Abdilrahman Majeed
• Natalie Majors
• Megan Malabanan, DPT
• Malakeh Zahedi DDS Inc.
• Ruemruk Malasarn, ATC, CSCS
• Thomas Michael Malcolm, ADC CERT
• Maria Maldonado Cardenas

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.