Standard Bean LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STANDARD BEAN LLC

Practice address

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

Phone

(209) 839-7413

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Ceo

Phone

(209) 839-7413

Specialties & licenses 1

Addresses

Other names 1

• Restore Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anmol Bhangu, DDS

  • Dentist
  • Stockton, CA
  • NPI 1316424831
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661040000000",
    "number": "1699400226",
    "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": "209-839-7413"
        },
        {
            "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": "STANDARD BEAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "BHANGU",
        "authorized_official_first_name": "ANMOL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-839-7413",
        "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": "Restore Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy Stallworth
• Lewis Stallworth
• Rashard O Stallworth Sr.
• Rebecca Wailing Stallworth, LCSW
• Ajani Asis Amiri Stamper
• Rachel Standley, LPCC13971
• Jaden Stanford-Snyder
• Stella Stangle
• Stanislaus County
• Anastacia Stanley, M.A., LMFT

• Dental Clinic/Center in Stockton, CA
• Providers in Stockton, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.