Organization Active NPI

Dharma Hans Panjrath Dental a Professional Corporation

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1720740988
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DHARMA HANS PANJRATH DENTAL A PROFESSIONAL CORPORATION
Practice address
1795 Park Ave
San Jose, CA 95126-2093
Phone
(408) 286-0617
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Dr. Kanchan H Dharma, DMDNPI 1992090856
Title
Managing Dentist
Phone
(408) 286-0617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1795 Park Ave
San Jose, CA 95126-2093

Mailing address

1795 Park Ave
San Jose, CA 95126-2093
Phone (408) 286-0617

Other names 1

  • Ravizza Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1795 Park Ave
San Jose, CA 95126
Phone (408) 286-0617

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1720740988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 PARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262093",
            "telephone_number": "408-286-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 PARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262093",
            "telephone_number": "408-286-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHARMA HANS PANJRATH DENTAL A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "DHARMA",
        "authorized_official_first_name": "KANCHAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGING DENTIST",
        "authorized_official_telephone_number": "408-286-0617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ravizza Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.