Organization Active NPI

Charanjit S Uppal DDS Inc

  • Dentist
  • Hayward, CA
National Provider Identifier
1487101192
Registry record updated Sep 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45048 Issued in CA
Legal business name
CHARANJIT S UPPAL DDS INC
Practice address
1191 W Tennyson Rd
Ste 4
Hayward, CA 94544-4454
Phone
(510) 786-1780
NPI assigned
Sep 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2016

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

Authorized official

Name
Dr. Charanjit S Uppal, DDSNPI 1760550685
Title
President
Phone
(510) 786-1780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 45048 CA Primary

Addresses

Primary practice location

1191 W Tennyson Rd
Ste 4
Hayward, CA 94544-4454

Mailing address

PO Box 338
Mount Eden, CA 94557-0338
Phone (510) 786-1780

Other identifiers 1

IdentifierTypeStateIssuer
45048OtherCADENTI-CAL

National Provider Directory

National Provider Directory

Locations

1191 W Tennyson Rd
Ste 4
Hayward, CA 94544
Phone (510) 786-1780

Practitioners & affiliated clinicians

Practitioners 1

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": "1473465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473465600000",
    "number": "1487101192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "MOUNT EDEN",
            "state": "CA",
            "postal_code": "945570338",
            "telephone_number": "510-786-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 W TENNYSON RD",
            "address_2": "STE 4",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444454",
            "telephone_number": "510-786-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARANJIT S UPPAL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-10",
        "last_updated": "2016-09-10",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "CHARANJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-786-1780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "45048",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2016; 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.