Active NPI
Ravneet Kaur
- Dentist
- Carmichael, CA
National Provider Identifier
1043930001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107908
- Practice address
- 5615 Manzanita Ave Ste a
Carmichael, CA 95608-6570 - Phone
- (703) 618-0194
- NPI assigned
- Aug 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107908 | CA | Primary |
Addresses
Primary practice location
5615 Manzanita Ave Ste a
Carmichael, CA 95608-6570
Mailing address
6601 Blue Oaks Blvd Apt 901
Rocklin, CA 95765-5963
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107908 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1043930001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 BLUE OAKS BLVD APT 901",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 MANZANITA AVE STE A",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956086570",
"telephone_number": "703-618-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "RAVNEET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "107908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.