Individual provider Active NPI

Pankaj R. Singhvi, DMD

  • General Practice Dentistry
  • Springfield, MA
National Provider Identifier
1417242124
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1855685 Issued in MA
Practice address
1070 Saint James Ave
Springfield, MA 01104-1453
Phone
(413) 737-5665
NPI assigned
Jun 10, 2011
Last updated
Jun 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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 DN1855685 MA Primary

Addresses

Primary practice location

1070 Saint James Ave
Springfield, MA 01104-1453

Mailing address

1090 Northchase Pkwy SE Ste 290
Marietta, GA 30067-6402
Phone (678) 904-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170123001286 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7416239959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1855685MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
North Mesa Dental, PC General Practice Past Accepting new patients
Hathaway Road Dental, PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1417242124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NORTHCHASE PKWY SE STE 290",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676402",
            "telephone_number": "678-904-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 SAINT JAMES AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011041453",
            "telephone_number": "413-737-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGHVI",
        "first_name": "PANKAJ",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1855685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.