Pranatee Pattanayak, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

59207 Issued in CA

Practice address

1400 Santa Rita Rd Ste C
Pleasanton, CA 94566-5663

Phone

(925) 485-9595

Fax

(925) 485-9590

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pattanayak Dental Corp

  • Dentist
  • Pleasanton, CA
  • NPI 1285972182
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1811061344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SANTA RITA RD STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665663",
            "telephone_number": "925-485-9595",
            "fax_number": "925-485-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SANTA RITA RD STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945665663",
            "telephone_number": "925-485-9595",
            "fax_number": "925-485-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTANAYAK",
        "first_name": "PRANATEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "12059",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "966175100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways to Wellness
• Pathways to Wellness
• Pranita Madhaorao Patki, MS OTR/L
• Steven Jeremiah Chandler Patrick
• Pattanayak Dental Corp
• Angelina Thaliya Patu
• Nidia Arianna Paula Amaya
• Arnold C Paulos, D.D.S.
• Elizabeth Peace, BCBA
• Sheila Beth Pearlman, PH.D.

• Dentist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.