Active NPI
Baban Dhariwal DDS PA Inc
- General Practice Dentistry
- Granite Bay, CA
National Provider Identifier
1801248950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- BABAN DHARIWAL DDS PA INC
- Practice address
- 5280 Douglas Blvd Ste 100
Granite Bay, CA 95746-6205 - Phone
- (916) 800-5001
- Fax
- (916) 791-1659
- NPI assigned
- Jul 12, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Baban Dhariwal, DDS
- Title
- President
- Phone
- (916) 298-7345
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
5280 Douglas Blvd Ste 100
Granite Bay, CA 95746-6205
Mailing address
6049 Douglas Blvd Ste 9
Roseville, CA 95746-6249
Phone (916) 791-4133
National Provider Directory
National Provider Directory- Tax ID family
- Baban Dhariwal DDS PA Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Folsom, CA
- NPI 1306200779
Locations
5280 Douglas Blvd
Ste 100
Granite Bay, CA 95746
Phone (916) 800-5001
6049 Douglas Blvd
Ste 9
Roseville, CA 95746
Phone (916) 791-4133
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Granite Bay, CA
- NPI 1104951557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1801248950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6049 DOUGLAS BLVD STE 9",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957466249",
"telephone_number": "916-791-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5280 DOUGLAS BLVD STE 100",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466205",
"telephone_number": "916-800-5001",
"fax_number": "916-791-1659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABAN DHARIWAL DDS PA INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-12",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "DHARIWAL",
"authorized_official_first_name": "BABAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-298-7345",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.