Individual provider Active NPI

Puneet Kaur Rangi, D.D.S.

  • Dentist
  • Manchester, CT
National Provider Identifier
1932518420
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019030003 Issued in IL
Practice address
1540 Pleasant Valley Rd Ste G
Manchester, CT 06042-8760
Phone
(860) 644-1095
Fax
(860) 644-1118
NPI assigned
Aug 8, 2014
Last updated
Nov 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 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 019030003 IL Primary

Addresses

Primary practice location

1540 Pleasant Valley Rd Ste G
Manchester, CT 06042-8760

Mailing address

1540 Pleasant Valley Rd Ste G
Manchester, CT 06042-8760
Phone (989) 277-8668

Other practice location 1

1102 4th Ave
Moline, IL 61265-1231
Phone (309) 281-9695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019030003ILMDDentist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1932518420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PLEASANT VALLEY RD STE G",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428760",
            "telephone_number": "989-277-8668",
            "fax_number": "860-644-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 PLEASANT VALLEY RD STE G",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428760",
            "telephone_number": "860-644-1095",
            "fax_number": "860-644-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612651231",
            "country_code": "US",
            "telephone_number": "309-281-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGI",
        "first_name": "PUNEET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.