Prashant Pandya, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN17268 Issued in FL

Practice address

5460 Lena Rd Unit 102
Bradenton, FL 34211-9500

Phone

(941) 755-6637

NPI assigned

Dec 8, 2006

Last updated

Jun 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panham PLLC

  dba Oneco Smiles

  • Dental Clinic/Center
  • Bradenton, FL
  • NPI 1700631538
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1942360375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 LENA RD UNIT 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119500",
            "telephone_number": "941-755-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 LENA RD UNIT 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119500",
            "telephone_number": "941-755-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "PRASHANT",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestino Palomino, M.D.
• Jeremy D Palubin, DPT
• Pamela S Bowyer Inc
• Esdras Moises Panchame Pavon, MD
• Marion M Pandiscio, MD
• Panel of Ekg - Lakewood
• Toya Lashawn Paneque, MS/CCC/SLP
• Panham PLLC (Oneco Smiles)
• Panna Counseling and Consulting Services, LLC
• Victoria Patricia Panna, PHD, LPC, ACS, NCC

• Oral and Maxillofacial Surgery (Dentist) in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.