Organization Active NPI

P Kansagra DDS Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Anaheim, CA
National Provider Identifier
1508343476
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
34129 Issued in CA
Legal business name
P KANSAGRA DDS INC
Practice address
8285 E Santa Ana Canyon Rd Ste 115
Anaheim, CA 92808-2250
Phone
(714) 974-5599
NPI assigned
Jul 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Authorized official

Name
Parimal Kansagra, DDS
Title
Owner
Phone
(714) 974-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 34129 CA Primary

Addresses

Primary practice location

8285 E Santa Ana Canyon Rd Ste 115
Anaheim, CA 92808-2250

Mailing address

8285 E Santa Ana Canyon Rd Ste 115
Anaheim, CA 92808-2250
Phone (714) 974-5599

National Provider Directory

National Provider Directory

Locations

8285 E Santa Ana Canyon Rd
Ste 115
Anaheim, CA 92808
Phone (714) 974-5599

5807 Pine Ave
Chino Hills, CA 91709
Phone (714) 974-5599

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": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1508343476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 E SANTA ANA CANYON RD STE 115",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082250",
            "telephone_number": "714-974-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 E SANTA ANA CANYON RD STE 115",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082250",
            "telephone_number": "714-974-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P KANSAGRA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "KANSAGRA",
        "authorized_official_first_name": "PARIMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-974-5599",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "34129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.