Organization Active NPI

PB Healthcare SVCS II LLC

  • Family Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1710297072
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME101528 Issued in FL
Legal business name
PB HEALTHCARE SVCS II LLC
Doing business as
Palm Coast Family Dentistry & Medicine
Practice address
50 Cypress Point Pkwy
Suite A3
Palm Coast, FL 32164-2500
Phone
(386) 445-0977
Fax
(386) 445-0579
NPI assigned
Oct 20, 2010
Organization subpart
Yes
Parent organization
PB HEALTHCARE SVCS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Dr. Parminder Singh, M.D.
Title
VP
Phone
(386) 445-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME101528 FL Primary

Addresses

Primary practice location

50 Cypress Point Pkwy
Suite A3
Palm Coast, FL 32164-2500

Mailing address

50 Cypress Point Pkwy
Suite A3
Palm Coast, FL 32164-2500
Phone (386) 445-0977

Other names 1

  • Palm Coast Family Dentistry & Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
PB Healthcare SVCS Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1710297072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE A3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-445-0977",
            "fax_number": "386-445-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CYPRESS POINT PKWY",
            "address_2": "SUITE A3",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642500",
            "telephone_number": "386-445-0977",
            "fax_number": "386-445-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB HEALTHCARE SVCS II LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PB HEALTHCARE SVCS, INC",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "386-445-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME101528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Coast Family Dentistry & Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.