Active NPI
Dharaben Ravjibhai Munjpara, DDS
- Dentist
- Tracy, CA
National Provider Identifier
1821341942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS61999
- Practice address
- 2990 W Grant Line Rd
Tracy, CA 95304-7901 - Phone
- (408) 666-0078
- NPI assigned
- Oct 26, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS61999 | CA | Primary |
Addresses
Primary practice location
2990 W Grant Line Rd
Tracy, CA 95304-7901
Mailing address
4502 Pietro PL
Dublin, CA 94568-4203
Phone (408) 666-0078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151230002771 | CA | Order and Referring Only - Oral Surgery | 5092017483 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS61999 | CA | MD | Dentist |
Interoperability endpoints
- dmunjpara@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1821341942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 PIETRO PL",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684203",
"telephone_number": "408-666-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 W GRANT LINE RD",
"city": "TRACY",
"state": "CA",
"postal_code": "953047901",
"telephone_number": "408-666-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNJPARA",
"first_name": "DHARABEN",
"middle_name": "RAVJIBHAI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS61999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.