Individual provider Active NPI

Anoop Nandanoor, DDS

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1720768344
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108985 Issued in CA
Practice address
8701 Camino Media Ste a
Bakersfield, CA 93311-1336
Phone
(661) 861-8000
Fax
(661) 616-5424
NPI assigned
Jul 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108985 CA Primary

Addresses

Primary practice location

8701 Camino Media Ste a
Bakersfield, CA 93311-1336

Mailing address

8701 Camino Media Ste a
Bakersfield, CA 93311-1336
Phone (661) 861-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
108985CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Casteen Dental Corp PastSince Jul 23, 2023 Accepting new patients
Casteen Dental Corp Dba Capital Dental Group PastSince Jul 23, 2023 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": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1720768344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 CAMINO MEDIA STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111336",
            "telephone_number": "661-861-8000",
            "fax_number": "661-616-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 CAMINO MEDIA STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933111336",
            "telephone_number": "661-861-8000",
            "fax_number": "661-616-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDANOOR",
        "first_name": "ANOOP",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.