Avanti Agrawal, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039163 Issued in PA

Practice address

8 Ponds Edge Dr
Suite #2
Chadds Ford, PA 19317-9389

Phone

(610) 388-4466

Fax

(610) 388-5808

NPI assigned

Jul 10, 2012

Last updated

Feb 14, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Best Smile Dental LLC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1396410148
  NPD Authorized official
• A Plus Oral Surgery Specialty Care, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Reading, PA
  • NPI 1982910535
  NPD (past)
• Advanced Family Dentisitry P.C.

  • General Practice Dentistry
  • Chadds Ford, PA
  • NPI 1033278452
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360800000000",
    "number": "1063777688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 108",
            "city": "FT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "267-460-4254",
            "fax_number": "215-646-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PONDS EDGE DR",
            "address_2": "SUITE #2",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179389",
            "telephone_number": "610-388-4466",
            "fax_number": "610-388-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "AVANTI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2013-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Family Dentisitry P.C.
• Karen Wientjes Albaugh, PT, DPT, MPH, CWS
• Alrez Family Dentistry
• Hadeel Alrez, DMD
• Amy Schullery, Psy.D., LLC
• Lee Anderson, PHD

• General Practice Dentistry in Chadds Ford, PA
• Providers in Chadds Ford, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.

Verify at the official NPI Registry.