Organization Active NPI

Bhangu Dental Corporation

  • Dental Clinic/Center
  • Stockton, CA
National Provider Identifier
1689392482
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BHANGU DENTAL CORPORATION
Practice address
1350 W Robinhood Dr Ste 4
Stockton, CA 95207-5519
Phone
(209) 839-7413
NPI assigned
Aug 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2024

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

Authorized official

Name
Dr. Anmol S Bhangu, DDSNPI 1316424831
Title
Owner Dentist
Phone
(209) 451-3155

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

1350 W Robinhood Dr Ste 4
Stockton, CA 95207-5519

Mailing address

1350 W Robinhood Dr Ste 4
Stockton, CA 95207-5519
Phone (209) 451-3155

Other names 1

  • Robinhood Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1350 W Robinhood Dr
Ste 4
Stockton, CA 95207
Phone (209) 839-7413

Practitioners & affiliated clinicians

Practitioners 2

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": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728777600000",
    "number": "1689392482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 W ROBINHOOD DR STE 4",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075519",
            "telephone_number": "209-451-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 W ROBINHOOD DR STE 4",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075519",
            "telephone_number": "209-839-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHANGU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A",
        "authorized_official_last_name": "BHANGU",
        "authorized_official_first_name": "ANMOL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "209-451-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robinhood Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robinhood Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.