Harinshodhan a Professional Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46966 Issued in CA

Legal business name

HARINSHODHAN A PROFESSIONAL DENTAL CORP

Practice address

11213 Palm Dr
Desert Hot Springs, CA 92240-3162

Phone

(818) 642-2777

Fax

(760) 251-7655

NPI assigned

Oct 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harin Pankaj Shodhan, DDSNPI 1639236870

Title

Owner

Phone

(818) 642-2777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Harin Shodhan, D.D.S.

  • Dentist
  • Desert Hot Springs, CA
  • NPI 1639236870
  NPD (past) Authorized official

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1780863241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11213 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403162",
            "telephone_number": "818-642-2777",
            "fax_number": "714-990-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11213 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922403162",
            "telephone_number": "818-642-2777",
            "fax_number": "760-251-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARINSHODHAN A PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "SHODHAN",
        "authorized_official_first_name": "HARIN",
        "authorized_official_middle_name": "PANKAJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-642-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "B4696603",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dyana Gutierrez
• Stephanie Guzman
• Silas Gyimah, M.D
• Lauren Hamilton
• Peter D Hara, DMD
• William Walter Harris
• Harry Hart Dental Corporation
• Hart Family Dental
• Harry Allen Hart, DDS
• Stephanee Havens, RADT1

• General Practice Dentistry in Desert Hot Springs, CA
• Providers in Desert Hot Springs, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.