Organization Active NPI

Dalvir Pannu DDS Inc

  • Dentist
  • Fremont, CA
National Provider Identifier
1851498547
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47148 Issued in CA
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

Updated by the provider on Jul 14, 2015

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.