NPIMap

Organization Active NPI

R & N Panchal Dental Group, a Professional Dental Corporation

  • Dental Clinic/Center
  • Kerman, CA
National Provider Identifier
1669067302
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
R & N PANCHAL DENTAL GROUP, A PROFESSIONAL DENTAL CORPORATION
Practice address
184 S Madera Ave
Kerman, CA 93630-1102
Phone
(559) 846-3333
Fax
(559) 846-8999
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Nandita Rushi Panchal, DDSNPI 1538559877
Title
Owner
Phone
(559) 846-3333

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 Primary

Addresses

Primary practice location

184 S Madera Ave
Kerman, CA 93630-1102

Mailing address

184 S Madera Ave
Kerman, CA 93630-1102
Phone (559) 846-3333

Other identifiers 1

IdentifierTypeStateIssuer
64274OtherCADENTAL LICENSE

Other names 1

  • Kerman Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

184 S Madera Ave
Kerman, CA 93630
Phone (559) 846-3333

Practitioners & affiliated clinicians

Practitioners 3

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": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1669067302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 S MADERA AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301102",
            "telephone_number": "559-846-3333",
            "fax_number": "559-846-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 S MADERA AVE",
            "city": "KERMAN",
            "state": "CA",
            "postal_code": "936301102",
            "telephone_number": "559-846-3333",
            "fax_number": "559-846-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R & N PANCHAL DENTAL GROUP, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "NANDITA",
        "authorized_official_middle_name": "RUSHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-846-3333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "64274",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kerman Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerman, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.