Organization Active NPI

KHS Pannu DDS Inc

  • Dental Clinic/Center
  • Roseville, CA
National Provider Identifier
1457875809
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KHS PANNU DDS INC
Practice address
1950 Douglas Blvd Ste B1
Roseville, CA 95661-3827
Phone
(916) 783-7105
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Karan HS Pannu, DDS
Title
Owner Ceo
Phone
(916) 783-7105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1950 Douglas Blvd Ste B1
Roseville, CA 95661-3827

Mailing address

1950 Douglas Blvd Ste B1
Roseville, CA 95661-3827
Phone (916) 783-7105

National Provider Directory

National Provider Directory

Locations

1950 Douglas Blvd
Ste B1
Roseville, CA 95661
Phone (916) 783-7105

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457875809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DOUGLAS BLVD STE B1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613827",
            "telephone_number": "916-783-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DOUGLAS BLVD STE B1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613827",
            "telephone_number": "916-783-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHS PANNU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "KARAN",
        "authorized_official_middle_name": "HS",
        "authorized_official_title_or_position": "OWNER CEO",
        "authorized_official_telephone_number": "916-783-7105",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.