Organization Active NPI

Pampa Dental PLLC

  • Dentist
  • Pampa, TX
National Provider Identifier
1457887978
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24348 Issued in TX
Legal business name
PAMPA DENTAL PLLC
Practice address
103 E 28TH Ave
Pampa, TX 79065-3016
Phone
(806) 669-1833
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Gunjan Dhir
Title
Owner Dentist
Phone
(806) 669-1833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24348 TX Primary

Addresses

Primary practice location

103 E 28TH Ave
Pampa, TX 79065-3016

Mailing address

103 E 28TH Ave
Pampa, TX 79065-3016
Phone (806) 669-1833

National Provider Directory

National Provider Directory

Locations

103 E 28th Ave
Pampa, TX 79065
Phone (806) 669-1833

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1457887978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 28TH AVE",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653016",
            "telephone_number": "806-669-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 28TH AVE",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653016",
            "telephone_number": "806-669-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMPA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "DHIR",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "806-669-1833"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.