Individual provider Active NPI

Deepali Mohindra Pednekar, D.D.S

  • Dentist
  • Agoura Hills, CA
National Provider Identifier
1790151892
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108733 Issued in CA
Practice address
30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5440
Phone
(818) 667-8435
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.030427 IL
Dentist 122300000X 108733 CA Primary

Addresses

Primary practice location

30200 Agoura Rd Ste 270
Agoura Hills, CA 91301-5440

Mailing address

23304 Sandalwood St
West Hills, CA 91307-1423
Phone (818) 667-8435

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
108733CAMDDentist
019.030427ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1790151892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23304 SANDALWOOD ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071423",
            "telephone_number": "818-667-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 270",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015440",
            "telephone_number": "818-667-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDNEKAR",
        "first_name": "DEEPALI",
        "middle_name": "MOHINDRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030427",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.