Organization Active NPI

Celeste Dental Inc.

  • General Practice Dentistry
  • Modesto, CA
National Provider Identifier
1912604950
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CELESTE DENTAL INC.
Practice address
1308 Celeste Dr Ste 1
Modesto, CA 95355-2402
Phone
(209) 765-6929
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Dr. Raminder K Pandher, DMDNPI 1912047259
Title
Dentist
Phone
(209) 765-6929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1308 Celeste Dr Ste 1
Modesto, CA 95355-2402

Mailing address

1601 McHenry Village Way Ste 1
Modesto, CA 95350-4338
Phone (209) 765-6929

Other names 1

  • Celeste Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1308 Celeste Dr
Ste 1
Modesto, CA 95355
Phone (209) 765-6929

1601 McHenry Village Way
Ste 1
Modesto, CA 95350
Phone (209) 577-1313

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": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1912604950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MCHENRY VILLAGE WAY STE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504338",
            "telephone_number": "209-765-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 CELESTE DR STE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552402",
            "telephone_number": "209-765-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "PANDHER",
        "authorized_official_first_name": "RAMINDER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "209-765-6929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celeste Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.