Individual provider Active NPI

Parul Jigneshkumar Panchal, D.D.S.

  • Dentist
  • Bellflower, CA
National Provider Identifier
1891997698
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50968 Issued in CA
Practice address
15741 Woodruff Ave Ste a
Bellflower, CA 90706-4083
Phone
(562) 866-3400
Fax
(562) 866-3002
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50968 CA Primary

Addresses

Primary practice location

15741 Woodruff Ave Ste a
Bellflower, CA 90706-4083

Mailing address

15741 Woodruff Ave Ste a
Bellflower, CA 90706-4083
Phone (562) 866-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20161229001989 CA Order and Referring Only - DentistPractitioner - Dentist 9931480100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50968CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chau Hoang Inc Past Accepting new patients
Parul DDS Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1891997698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15741 WOODRUFF AVE STE A",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064083",
            "telephone_number": "562-866-3400",
            "fax_number": "562-866-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15741 WOODRUFF AVE STE A",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064083",
            "telephone_number": "562-866-3400",
            "fax_number": "562-866-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "PARUL",
        "middle_name": "JIGNESHKUMAR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.