Organization Active NPI

Sherwin Panem DDS Dental Corporation

Doing business as Palladium Dental Care

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1700219433
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
52907 Issued in CA
Legal business name
SHERWIN PANEM DDS DENTAL CORPORATION
Doing business as
Palladium Dental Care
Practice address
729 Sunrise Ave Ste 615
Roseville, CA 95661-4548
Phone
(916) 865-4501
NPI assigned
Aug 16, 2013
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Sherwin A Panem
Title
President
Phone
(916) 865-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52907 CA Primary

Addresses

Primary practice location

729 Sunrise Ave Ste 615
Roseville, CA 95661-4548

Mailing address

729 Sunrise Ave Ste 615
Roseville, CA 95661-4548
Phone (916) 865-4501

Other names 1

  • Palladium Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

729 Sunrise Ave
Ste 615
Roseville, CA 95661
Phone (916) 783-4888

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1700219433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 615",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "916-865-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 615",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614548",
            "telephone_number": "916-865-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWIN PANEM DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "PANEM",
        "authorized_official_first_name": "SHERWIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-865-4501"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palladium Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.