Organization Active NPI

Sanam PC

  • Dentist
  • Castle Rock, CO
National Provider Identifier
1801058201
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SANAM PC
Practice address
734 Wilcox St # 2
Castle Rock, CO 80104-1741
Phone
(303) 257-8237
Fax
(303) 814-3761
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Vikash Kanchanlal, DMD
Title
President
Phone
(303) 257-8237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CO Primary

Addresses

Primary practice location

734 Wilcox St # 2
Castle Rock, CO 80104-1741

Mailing address

734 Wilcox St # 2
Castle Rock, CO 80104-1741
Phone (303) 257-8237

Other names 1

  • Shadow Rock Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

734 Wilcox St
#2
Castle Rock, CO 80104
Phone (303) 257-8237

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1801058201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 WILCOX ST # 2",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041741",
            "telephone_number": "303-257-8237",
            "fax_number": "303-814-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 WILCOX ST # 2",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041741",
            "telephone_number": "303-257-8237",
            "fax_number": "303-814-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANAM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "KANCHANLAL",
        "authorized_official_first_name": "VIKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-257-8237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadow Rock Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.