Organization Active NPI

Baban Dhariwal DDS PA Inc

  • General Practice Dentistry
  • Granite Bay, CA
National Provider Identifier
1801248950
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Sep 5, 2023

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.