NPIMap

Organization Active NPI

Pranab K. Dutt D.D.S., a.P.C.

  • Dental Clinic/Center
  • El Centro, CA
National Provider Identifier
1649512476
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
39788 Issued in CA
Legal business name
PRANAB K. DUTT D.D.S., A.P.C.
Practice address
1540 S Imperial Ave
El Centro, CA 92243-4241
Phone
(760) 352-2773
Fax
(760) 352-6711
NPI assigned
Mar 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Dr. Pranab K Dutt, D.D.S.NPI 1023082492
Title
Dentist
Phone
(760) 352-2773

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
Dental Clinic/Center 261QD0000X 39788 CA Primary

Addresses

Primary practice location

1540 S Imperial Ave
El Centro, CA 92243-4241

Mailing address

1540 S Imperial Ave
El Centro, CA 92243-4241
Phone (760) 352-2773

National Provider Directory

National Provider Directory

Locations

1540 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-2773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1649512476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-352-2773",
            "fax_number": "760-352-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-352-2773",
            "fax_number": "760-352-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANAB K. DUTT D.D.S., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "DUTT",
        "authorized_official_first_name": "PRANAB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-352-2773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "39788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.