Active NPI
Panna Deepak Gandhi, DDS
- General Practice Dentistry
- Bronx, NY
National Provider Identifier
1659437911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 035469
- Practice address
- 1731 University Ave
Bronx, NY 10453-6961 - Phone
- (718) 716-5711
- Fax
- (718) 716-5705
- NPI assigned
- Dec 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 035469 | NY | Primary |
Addresses
Primary practice location
1731 University Ave
Bronx, NY 10453-6961
Mailing address
1731 University Ave
Bronx, NY 10453-6961
Phone (718) 716-5711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00514521 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035469 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1659437911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 UNIVERSITY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104536961",
"telephone_number": "718-716-5711",
"fax_number": "718-716-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 UNIVERSITY AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104536961",
"telephone_number": "718-716-5711",
"fax_number": "718-716-5705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANDHI",
"first_name": "PANNA",
"middle_name": "DEEPAK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "035469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00514521",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.