Agrima Pradhan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027509 Issued in OH

Practice address

4089 W Broad St
Columbus, OH 43228-1614

Phone

(614) 954-0700

NPI assigned

May 10, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• West Broad Dental Partners LLP

  • Dental Clinic/Center
  • Columbus, OH
  • NPI 1881208874

  General Practice

  NPD

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1114775566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29851 SUTTON DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704818",
            "telephone_number": "440-370-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4089 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281614",
            "telephone_number": "614-954-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "AGRIMA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagar Sudhakar Prabhu, MD
• Shreya Suman Prabhu, MD
• Sonal Nilesh Prabhu, RPH
• Yogeesh Herohally Shivaramai Prabhu, MBBS, MD
• Noorudin Pracha
• Praesto Health, LLC
• Prairie TWP Trustees
• Pran Internists, LLC
• Mona Rani Prasad, D.O. M.P.H.
• Nikhil Prasad, M.D.

• General Practice Dentistry in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.