N.K.M Prasad, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

31104 Issued in CA

Practice address

5814 Imperial Hwy
South Gate, CA 90280-7614

Phone

(562) 869-2755

Fax

(562) 869-2533

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chiraag N Parekh DDS, Inc

  • Dental Clinic/Center
  • South Gate, CA
  • NPI 1750043154
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1811053804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5814 E. IMPERIAL HIGHWAY",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "90061",
            "telephone_number": "562-869-2755",
            "fax_number": "562-869-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5814 IMPERIAL HWY",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902807614",
            "telephone_number": "562-869-2755",
            "fax_number": "562-869-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASAD",
        "first_name": "N.K.M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B3110401",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "31104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Aidee Perez, LVN
• Pih Health Physicians
• Patricia Anne PO, FNP-C
• Pooja Aswani DDS,Inc.
• Harold Edward Potts, D.C.
• Socheat Ouv Pream, L.AC.
• Aida Fagela Prestosa, RPH
• Prof.Imaging Grpoup, Inc
• Prohealth Partners a Medical Group
• Napoleon Tolentino Puerto

• Dentist in South Gate, CA
• Providers in South Gate, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.