Active NPI
Nandita Nanda, DMD
- Dentist
- Pharr, TX
National Provider Identifier
1841638962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29023
- Practice address
- 1201 S Jackson Rd
Unit 12
Pharr, TX 78577-6859 - Phone
- (956) 683-0386
- Fax
- (956) 683-0506
- NPI assigned
- Jun 11, 2013
- 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 | 29023 | TX | Primary |
Addresses
Primary practice location
1201 S Jackson Rd
Unit 12
Pharr, TX 78577-6859
Mailing address
206 W 6TH Ave
Stillwater, OK 74074-4017
Phone (405) 707-6135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29023 | TX | MD | Dentist |
| 4198 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Past | Accepting new patients |
Interoperability endpoints
- nnanda20121@choctawnation.direct-ci.com
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Broken Bow, OK
- NPI 1770559619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1841638962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W 6TH AVE",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740744017",
"telephone_number": "405-707-6135",
"fax_number": "405-707-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S JACKSON RD",
"address_2": "UNIT 12",
"city": "PHARR",
"state": "TX",
"postal_code": "785776859",
"telephone_number": "956-683-0386",
"fax_number": "956-683-0506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDA",
"first_name": "NANDITA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.