Manbir Kaur Pannu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17753 Issued in OH

Practice address

8523 Ridge Rd
North Royalton, OH 44133-1856

Phone

(440) 237-7730

Fax

(440) 237-1406

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• South West Nephrology LLC

  • Nephrology Physician
  • No Royalton, OH
  • NPI 1932203023
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962428581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331856",
            "telephone_number": "440-237-7730",
            "fax_number": "440-237-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331856",
            "telephone_number": "440-237-7730",
            "fax_number": "440-237-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNU",
        "first_name": "MANBIR",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan E Otto, APRN
• Marc Robert Pagano, PH.D.
• Palmentera & Associates, Inc.
• Carmela M. Palmentera, PH.D.
• Mark Paly, DMD
• Samuel G Papandreas, DDS MS
• Melissa Pappert, LISW-S
• Parma SNF Healthcare LLC
• Robert Parschen, PTA
• Flavia Pasca

• General Practice Dentistry in North Royalton, OH
• Providers in North Royalton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.