Active NPI
Puneet Kaur Rangi, D.D.S.
- Dentist
- Manchester, CT
National Provider Identifier
1932518420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019030003
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 019030003 | IL | MD | Dentist |
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.
-
- General Practice Dentistry
- Manchester, CT
- NPI 1184093197
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.