Dudley Marvin Pang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

55787 Issued in CA

Practice address

106 W Alexander Ave
Merced, CA 95348-3410

Phone

(209) 722-3907

Fax

(209) 383-4603

NPI assigned

Sep 7, 2007

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

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

Locations

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.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment NPD
• Dudley M. Pang, DDS, Inc.

  • General Practice Dentistry
  • Merced, CA
  • NPI 1396970471
  NPD (past) Authorized official
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1962680421
  NPD
• Golden Valley Health Centers

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1457546921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11662 LOZANO PL",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543972",
            "telephone_number": "909-799-3848",
            "fax_number": "909-799-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W ALEXANDER AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483410",
            "telephone_number": "209-722-3907",
            "fax_number": "209-383-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "DUDLEY",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Associates of Merced
• Pain Associates of Merced
• Pain Management Services and Physical Therapy Inc.
• Martin Keali'I Palmer, D.M.D.
• Baljinder Pamma
• Lloyd Devassy Panjikaran, MD
• Anvinderjeet Singh Pannu, MD
• Jyotti Pannu
• Winter R Papineau
• Meghal Parikh, MD

• General Practice Dentistry in Merced, CA
• Providers in Merced, 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 May 19, 2009; 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.