Active NPI
Dalvir Pannu DDS Inc
- Dentist
- Fremont, CA
National Provider Identifier
1851498547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47148
- Legal business name
- DALVIR PANNU DDS INC
- Practice address
- 40880 Fremont Blvd
Fremont, CA 94538-4334 - Phone
- (510) 792-9292
- Fax
- (510) 792-9296
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ravneet Kaur Pannu
- Title
- Office Manager
- Phone
- (408) 608-4166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47148 | CA | Primary |
Addresses
Primary practice location
40880 Fremont Blvd
Fremont, CA 94538-4334
Mailing address
40880 Fremont Blvd
Fremont, CA 94538-4334
Phone (510) 792-9292
National Provider Directory
National Provider DirectoryLocations
40880 Fremont Blvd
Fremont, CA 94538
Phone (510) 573-6083
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Fremont, CA
- NPI 1679970537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436832000000",
"number": "1851498547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40880 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384334",
"telephone_number": "510-792-9292",
"fax_number": "510-792-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40880 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945384334",
"telephone_number": "510-792-9292",
"fax_number": "510-792-9296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALVIR PANNU DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-17",
"last_updated": "2015-07-14",
"status": "A",
"authorized_official_last_name": "PANNU",
"authorized_official_first_name": "RAVNEET",
"authorized_official_middle_name": "KAUR",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "408-608-4166",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "47148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.