Individual provider Active NPI

Randeep Kaur Brar, DMD

  • General Practice Dentistry
  • College Point, NY
National Provider Identifier
1033899752
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
065227 Issued in NY
Practice address
1821 119TH St
College Point, NY 11356-2120
Phone
(929) 391-3719
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240201003342 WA Order and Referring Only - DentistPractitioner - Dentist 5890148191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE61447085WAMDDentist
065227NYMDGeneral Practice Dentistry

Networks

  • WA PPO C-SNP

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 065227 NY Primary
Dentist 122300000X DE61447085 WA

Addresses

NPPES NPI Registry

Primary practice location

1821 119TH St
College Point, NY 11356-2120

Mailing address

1821 119TH St
College Point, NY 11356-2120
Phone (929) 391-3719

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2025.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1033899752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 119TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562120",
            "telephone_number": "929-391-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 119TH ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562120",
            "telephone_number": "929-391-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "RANDEEP",
        "middle_name": "KAUR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "065227",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61447085",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Point, NY

Sources for this page

Verify at the official NPI Registry.