Organization Active NPI

Kulbir S Goraya DDS PC

  • Dental Clinic/Center
  • Fredericksburg, VA
National Provider Identifier
1003561648
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KULBIR S GORAYA DDS PC
Practice address
560 Celebrate Virginia Pkwy Ste 107
Fredericksburg, VA 22406-7298
Phone
(540) 286-1110
NPI assigned
Feb 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Authorized official

Name
Kulbir Singh Goraya, DDSNPI 1548509813
Title
President
Phone
(540) 286-1110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

560 Celebrate Virginia Pkwy Ste 107
Fredericksburg, VA 22406-7298

Mailing address

4332 Still Meadow Rd
Fairfax, VA 22032-1633

National Provider Directory

National Provider Directory

Locations

560 Celebrate Virginia Pkwy
Ste 107
Fredericksburg, VA 22406
Phone (540) 286-1110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644624000000",
    "number": "1003561648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 STILL MEADOW RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CELEBRATE VIRGINIA PKWY STE 107",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224067298",
            "telephone_number": "540-286-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULBIR S GORAYA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "GORAYA",
        "authorized_official_first_name": "KULBIR",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-286-1110",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; 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.