Active NPI
Abhinav Kalra, DDS
- Dentist
- Mansfield, TX
National Provider Identifier
1023561933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38405
- Practice address
- 1811 Highway 287 N Ste 160
Mansfield, TX 76063-7571 - Phone
- (817) 453-1001
- Fax
- (817) 453-1221
- NPI assigned
- Jul 27, 2016
- Last updated
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38405 | TX | Primary |
| Dentist | 122300000X | 019030901 | IL |
Addresses
Primary practice location
1811 Highway 287 N Ste 160
Mansfield, TX 76063-7571
Mailing address
1811 Highway 287 N Ste 160
Mansfield, TX 76063-7571
Phone (817) 453-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160808001907 | IL | Order and Referring Only - Dentist | 1658665047 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38405 | TX | MD | Clinical Psychologist |
| 019030901 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Picasso Dental-Mansfield PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Mansfield, TX
- NPI 1841517851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1023561933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 HIGHWAY 287 N STE 160",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637571",
"telephone_number": "817-453-1001",
"fax_number": "817-453-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 HIGHWAY 287 N STE 160",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760637571",
"telephone_number": "817-453-1001",
"fax_number": "817-453-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALRA",
"first_name": "ABHINAV",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-27",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "38405",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019030901",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.