Individual provider Active NPI

Kanchan Hundraj Dharma, DMD

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1992090856
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60818 Issued in CA
Practice address
3055 Mowry Ave
Fremont, CA 94538
Phone
(510) 494-9010
Fax
(510) 494-9868
NPI assigned
Jun 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60818 CA Primary

Addresses

Primary practice location

3055 Mowry Ave
Fremont, CA 94538

Mailing address

3055 Mowry Ave
Fremont, CA 94538
Phone (510) 494-9010

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
60818CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Panjrath Hans Dharma Dental a Professional Corporation Current Accepting new patients
Dharma Hans Panjrath Dental a Professional Corporation General Practice Current Accepting new patients
Western Dental Services, Inc. General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kdharma@direct.westerndental.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1992090856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-494-9010",
            "fax_number": "510-494-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-494-9010",
            "fax_number": "510-494-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHARMA",
        "first_name": "KANCHAN",
        "middle_name": "HUNDRAJ",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.