Individual provider Active NPI

Ramandeep Badhan, DDS

  • General Practice Dentistry
  • Fresno, CA
National Provider Identifier
1699182469
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63611 Issued in CA
Practice address
5751 W Santa Ana Ave
Fresno, CA 93722-7516
Phone
(559) 473-6281
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63611 CA Primary

Addresses

Primary practice location

5751 W Santa Ana Ave
Fresno, CA 93722-7516

Mailing address

5751 W Santa Ana Ave
Fresno, CA 93722-7516
Phone (559) 473-6281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160803003149 CA Order and Referring Only - DentistPractitioner - Dentist 0941594618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1699182469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 W SANTA ANA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227516",
            "telephone_number": "559-473-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 W SANTA ANA AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937227516",
            "telephone_number": "559-473-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADHAN",
        "first_name": "RAMANDEEP",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.