Parag R. Kachalia, DDS., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48926 Issued in CA

Legal business name

PARAG R. KACHALIA, DDS., INC.

Practice address

525 Bollinger Canyon Way Ste 100
San Ramon, CA 94582-4935

Phone

(925) 362-8209

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Parag R Kachalia, DDS

Title

Ceo President

Phone

(925) 362-8209

Specialties & licenses 1

Addresses

Other names 1

• INNOVATIVE DENTAL CONCEPTS Doing business as

Locations

Practitioners 1

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

• Charity Lucille Duncan Kachalia, DDS

  • Dentist
  • San Ramon, CA
  • NPI 1003235763
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1801003645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BOLLINGER CANYON WAY STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824935",
            "telephone_number": "925-362-8209",
            "fax_number": "925-362-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BOLLINGER CANYON WAY STE 100",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945824935",
            "telephone_number": "925-362-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAG R. KACHALIA, DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "KACHALIA",
        "authorized_official_first_name": "PARAG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "925-362-8209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNOVATIVE DENTAL CONCEPTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INNOVATIVE DENTAL CONCEPTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chao Hong Pan
• Joleen Pan
• Debbie Pangilinan, NP
• Paradise Adolescent Home
• Paradise Adolescent Homes, Inc.
• Paragon Dental Management LLC
• Ferdinand Lauron Parawan, D.D.S.
• Brandy Paredes
• Parekh Medical Group Inc
• Shawndra Catherine Parise, M.D.

• General Practice Dentistry in San Ramon, CA
• Providers in San Ramon, 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 Mar 11, 2020; 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.