Karan Pannu DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49627 Issued in CA

Legal business name

KARAN PANNU DDS INC

Practice address

5105 Laguna Blvd
Ste 4
Elk Grove, CA 95758-5260

Phone

(916) 478-0222

NPI assigned

Sep 2, 2015

Organization subpart

No

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

Authorized official

Name

Kimberley Buckingham, MANAGER

Title

Office Manager

Phone

(916) 478-0222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1700254133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 LAGUNA BLVD",
            "address_2": "STE 4",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585260",
            "telephone_number": "916-478-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 LAGUNA BLVD",
            "address_2": "STE 4",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585260",
            "telephone_number": "916-478-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARAN PANNU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "BUCKINGHAM",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-478-0222",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Faye Kane, REGISTERED DIETITIAN
• Jeanine Kaneza, DOULA
• Melody Hsin Liu Kang, PSYD, BCBA
• Erin Kanipe
• Elizabeth Garamendi Kann, M.D.
• Pritisha Karan
• Edris Kareemzadeh, DDS
• Amreen Baanu Karim
• Jenna Kasper
• Daniel Kassenbrock

• Dentist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.