Individual provider Active NPI

Prafulla Joshi, D.D.S

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1003868068
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34126 Issued in CA
Practice address
3860 Crenshaw Blvd
#229
Los Angeles, CA 90008-1816
Phone
(323) 296-2019
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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 34126 CA Primary

Addresses

Primary practice location

3860 Crenshaw Blvd
#229
Los Angeles, CA 90008-1816

Mailing address

3860 Crenshaw Blvd
#229
Los Angeles, CA 90008-1816
Phone (323) 296-2019

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
34126CAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: joshi.prafulla.p1@direct.cdsdp.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1003868068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CRENSHAW BLVD",
            "address_2": "#229",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081816",
            "telephone_number": "323-296-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 CRENSHAW BLVD",
            "address_2": "#229",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081816",
            "telephone_number": "323-296-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "PRAFULLA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "34126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.