Individual provider Active NPI

Gagandeep K Pandher, DDS

  • General Practice Dentistry
  • Pleasanton, CA
National Provider Identifier
1376984690
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62589 Issued in CA
Practice address
5460 Sunol Blvd
Suite #5
Pleasanton, CA 94566-7752
Phone
(510) 378-0087
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62589 CA Primary

Addresses

Primary practice location

5460 Sunol Blvd
Suite #5
Pleasanton, CA 94566-7752

Mailing address

5460 Sunol Blvd
Suite #5
Pleasanton, CA 94566-7752
Phone (510) 378-0087

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
I20150901003290 CA Order and Referring Only - DentistPractitioner - Dentist 2769798081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: gpandher@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1376984690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 SUNOL BLVD",
            "address_2": "SUITE #5",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667752",
            "telephone_number": "510-378-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 SUNOL BLVD",
            "address_2": "SUITE #5",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667752",
            "telephone_number": "510-378-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDHER",
        "first_name": "GAGANDEEP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.