Raju Dhariwal D.D.S Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

61098 Issued in CA

Legal business name

RAJU DHARIWAL D.D.S INC

Practice address

9170 Elk Grove Florin Rd Ste D
Elk Grove, CA 95624-4043

Phone

(916) 753-3510

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Raju DhariwalNPI 1265702906

Title

President

Phone

(916) 753-3510

Specialties & licenses 1

Addresses

Other names 1

• Camden Dental Care Doing business as

Locations

Practitioners 1

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

• Raju Dhariwal, D.D.S.

  • Dentist
  • Elk Grove, CA
  • NPI 1265702906
  NPD (past) Authorized official

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1619477254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 SINTRA WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576341",
            "telephone_number": "916-753-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9170 ELK GROVE FLORIN RD STE D",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244043",
            "telephone_number": "916-753-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJU DHARIWAL D.D.S INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "DHARIWAL",
        "authorized_official_first_name": "RAJU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-753-3510"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "61098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camden Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Rai
• Jawad Raif
• James Arthur Raines Jr., PH.D.
• Michelle F Raines, MFT
• Melody Virginia Rainwater
• Amanda Rakus
• Kristine Zusette Rala, LVN
• Raleys
• Amber L Ramage, N.P.
• Avinesh Raman, PHARMD

• Dental Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.