Individual provider Active NPI

Aparna Aghi, DMD

  • Pediatric Dentistry
  • San Rafael, CA
National Provider Identifier
1104815513
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
56651 Issued in CA
Practice address
912 Grand Ave Ste 202
San Rafael, CA 94901-3552
Phone
(415) 459-1444
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 56651 CA Primary

Addresses

Primary practice location

912 Grand Ave Ste 202
San Rafael, CA 94901-3552

Mailing address

912 Grand Ave Ste 202
San Rafael, CA 94901-3552
Phone (617) 359-9271

Other identifiers 1

IdentifierTypeStateIssuer
30301490MedicaidNH

Other names 1

  • Aparna Khanna Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1104815513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 GRAND AVE STE 202",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013552",
            "telephone_number": "617-359-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 GRAND AVE STE 202",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013552",
            "telephone_number": "415-459-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHI",
        "first_name": "APARNA",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "56651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30301490",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APARNA",
            "last_name": "KHANNA",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.