Ringo V Bangalan, DDS
Individual provider Active NPI General Practice Dentistry · Hacienda Heights, CA
NPI 1952505802 · NPPES record last updated Mar 7, 2016
Key facts
- NPI
- 1952505802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 55678 (CA)
- Practice address
- 15618 Gale Ave
Hacienda Heights, CA 91745-1514 - Phone
- (626) 961-8878
- Fax
- (626) 961-8836
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160425001474 | CA | Order and Referring Only - Dentist |
2668771718 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55678 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ringo V. Bangalan DDS Dental Corp | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55678 | CA | Yes |
Addresses
Primary practice location
15618 Gale Ave
Hacienda Heights, CA 91745-1514
Mailing address
18621 Devlin Ave
Artesia, CA 90701-5818
Phone (626) 379-8192
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55678 | Other | CA | DENTISTRY |
Other providers in Hacienda Heights, CA
- Laura Aviles
- Azusa Optometry Group, Inc.
- Guadalupe Baeza-Nunez
- Anjanina Balce
- Maria Antonia Balce
- Eduardo Barajas
- Briana Lauren Bates
- Omar Bazan
- Aaron Beltran
- Ben Chiang, M.D., Inc.
All providers in Hacienda Heights, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.