Individual provider Active NPI

Ravinder Singh Kunwar, DDS

  • General Practice Dentistry
  • Castaic, CA
National Provider Identifier
1710059993
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57701 Issued in CA
Practice address
27947 Sloan Canyon Rd
Castaic, CA 91384-2594
Phone
(661) 666-4433
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12184 MN
General Practice Dentistry 1223G0001X 57701 CA Primary

Addresses

Primary practice location

27947 Sloan Canyon Rd
Castaic, CA 91384-2594

Mailing address

23327 Clearwater LN
Valencia, CA 91355-1627
Phone (773) 807-3290

Other practice location 1

2140 E Palmdale Blvd
Palmdale, CA 93550-1202
Phone (661) 265-1700

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
I20150729009732 CA Order and Referring Only - DentistPractitioner - Dentist 1951615384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12184MNMDGeneral Practice Dentistry
57701CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. Past Accepting new patients
Ravinder Singh Kunwar DDS, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1710059993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23327 CLEARWATER LN",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551627",
            "telephone_number": "773-807-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27947 SLOAN CANYON RD",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913842594",
            "telephone_number": "661-666-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 E Palmdale Blvd",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935501202",
            "country_code": "US",
            "telephone_number": "661-265-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUNWAR",
        "first_name": "RAVINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12184",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castaic, CA

Sources for this page

Verify at the official NPI Registry.