Organization Active NPI

Avalpreet Dang Dental Corporation

Doing business as Merced Modern Dentistry

  • Dentist
  • Merced, CA
National Provider Identifier
1740962455
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AVALPREET DANG DENTAL CORPORATION
Doing business as
Merced Modern Dentistry
Practice address
3630 G St Ste C
Merced, CA 95340-9201
Phone
(209) 284-1321
Fax
(209) 284-2587
NPI assigned
Aug 2, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Meghan Farrar, DMD
Title
Owner
Phone
(209) 284-1321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3630 G St Ste C
Merced, CA 95340-9201

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Other names 1

  • MERCED MODERN DENTISTRY Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2340335Merced Modern Dentistry3630 G St, Ste C, Merced, CA 95340Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory

Locations

3630 G St
Ste C
Merced, CA 95340
Phone (209) 284-1321

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1740962455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 G ST STE C",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953409201",
            "telephone_number": "209-284-1321",
            "fax_number": "209-284-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALPREET DANG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-284-1321",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCED MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.