Tarandeep Kaur Pannu

Primary specialty

DentistTaxonomy code 122300000X

License

35236 Issued in TX

Practice address

3300 E Broad St Ste 120
Mansfield, TX 76063-5630

Phone

(682) 518-5856

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Mansfield Smiles and Orthodontics, PC

  • General Practice Dentistry
  • Mansfield, TX
  • NPI 1578846218
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1831751692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 RED BRANGUS TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761312118",
            "telephone_number": "206-261-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 E BROAD ST STE 120",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635630",
            "telephone_number": "682-518-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNU",
        "first_name": "TARANDEEP",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palmercare Chiropractic Mansfield LLC
• Linda Nguyen Palsky, RN
• Pancare Homecare, Inc
• Pannaben H Nangha MD PLLC
• Sara Rebecca Pannell, PHARMD
• Paragon Plastic Surgery & Med Spa LLC.
• Paragone Health LLC
• Jeremy Patrick Parcells, MD
• George K Pardy, PTA
• Ankit R Parikh, ARNP

• Dentist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.

Verify at the official NPI Registry.