Active NPI
Aditya Nikhil Pandya, DMD, MPH
- Dentist
- Glendale, AZ
National Provider Identifier
1639561145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9424
- Practice address
- 6120 W Bell Rd
Suite #190
Glendale, AZ 85308-3781 - Phone
- (602) 978-0338
- NPI assigned
- Feb 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9424 | AZ | Primary |
Addresses
Primary practice location
6120 W Bell Rd
Suite #190
Glendale, AZ 85308-3781
Mailing address
2668 S Stuart Ave
Gilbert, AZ 85295-2375
Phone (651) 269-6978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9424 | AZ | MD | Dentist |
| 64359 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients | |
| San Carlos Apache Healthcare Corporation | Current | Accepting new patients |
Locations
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital Clinic/Center
- Peridot, AZ
- NPI 1265813075
TX
-
dba Clarence Wesley Health Center
- Clinic/Center
- Bylas, AZ
- NPI 1417330713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476403200000",
"number": "1639561145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2668 S STUART AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852952375",
"telephone_number": "651-269-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 W BELL RD",
"address_2": "SUITE #190",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083781",
"telephone_number": "602-978-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "ADITYA",
"middle_name": "NIKHIL",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-21",
"last_updated": "2016-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "9424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.