Individual provider Active NPI

Pragati Bhargava

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1083017172
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021406 Issued in MI
Practice address
240 S 40TH St # 122
Philadelphia, PA 19104-6030
Phone
(810) 335-2777
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021406 MI Primary

Addresses

Primary practice location

240 S 40TH St # 122
Philadelphia, PA 19104-6030

Mailing address

4247 Locust St
Apt # 209
Philadelphia, PA 19104-5252
Phone (810) 335-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20170428002018 MI Practitioner - Oral Surgery 9234416231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901021406MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight, Inc. CurrentSince Mar 27, 2017 Accepting new patients
Onsight, Inc. Dentist CurrentSince Mar 27, 2017 Accepting new patients
Onsight, Inc. Current Accepting new patients

Locations

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1083017172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 LOCUST ST",
            "address_2": "APT # 209",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045252",
            "telephone_number": "810-335-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S 40TH ST # 122",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191046030",
            "telephone_number": "810-335-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARGAVA",
        "first_name": "PRAGATI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.