Active NPI
Kanchan Hundraj Dharma, DMD
- General Practice Dentistry
- Fremont, CA
National Provider Identifier
1992090856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 60818
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60818 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1720740988
-
- Dentist
- San Jose, CA
- NPI 1164965299
-
- General Practice Dentistry
- Fremont, CA
- NPI 1346302262
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.