Neelu Kalra

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012011 Issued in GA

Practice address

3525 Lawrenceville-Suwanee Rd
Suite 100
Suwanee, GA 30032-3277

Phone

(678) 793-9105

Fax

(678) 793-9105

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• TN PPO C-SNP
• FL HMO D-SNP
• FL HMO C-SNP

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1003986605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 CARTERS GROVE TRL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222627",
            "telephone_number": "770-232-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LAWRENCEVILLE-SUWANEE RD",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300323277",
            "telephone_number": "678-793-9105",
            "fax_number": "678-793-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALRA",
        "first_name": "NEELU",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459052833O",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459052833C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "459052833E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn McLaughlin LPC, LLC
• Kaizen Speech Therapy, LLC
• Karla Renee Kale de Pena, DC
• Joshua Andrew Kalish
• Pritesh B Kalola
• Maressa Pedroso Kaminski Czeczko, FNP-BC
• David Smith Kamuelyu Jr., CADC II
• Jithendar Kancharla
• Natasha Kanchwala
• Myong Jin Kang, MD

• General Practice Dentistry in Suwanee, GA
• Providers in Suwanee, GA by specialty
• General Practice Dentistry in Georgia

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