Pavan Narla, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009293 Issued in AZ

Practice address

801 N Wilmot Rd
Tucson, AZ 85711-1711

Phone

(520) 745-6871

NPI assigned

Feb 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Modern Dental Professionals Az, PC

  dba Brightnow Christown Spectrum

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1376814012
  NPD (past) Authorized official

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1851759583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 W ENFIELD WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111711",
            "telephone_number": "520-745-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARLA",
        "first_name": "PAVAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009293",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadene Nappi
• Rebecca P Nara, M.D.
• Robert A Nardone, DC
• Krithi Narimetla, MD
• Rena Narisu
• Karen Lynnette Narum, W.H.N.P.
• Rami Naseef
• James Nash, MD
• Juliet Sophia Nash, MD
• Kirk Jason Nash, CRNA

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.