Active NPI
Pragati Bhargava
- Dentist
- Philadelphia, PA
National Provider Identifier
1083017172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901021406
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021406 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onsight, Inc. | Current | Accepting new patients | |
| Onsight, Inc. | Dentist | Current | 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.
-
- Podiatrist
- East Lansing, MI
- NPI 1821248568
-
- Dentist
- East Lansing, MI
- NPI 1730339474
-
- Optometrist
- East Lansing, MI
- NPI 1831356807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.