Active NPI
Rajinder Singh, B.D.S.
- Dentist
- Port St Lucie, FL
National Provider Identifier
1154527208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009911
- Practice address
- 531 NW Lake Whitney PL
Suite 106
Port St Lucie, FL 34986-1619 - Phone
- (772) 462-3800
- Fax
- (772) 462-3880
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 009911 | FL | Primary |
Addresses
Primary practice location
531 NW Lake Whitney PL
Suite 106
Port St Lucie, FL 34986-1619
Mailing address
5150 NW Milner Dr
Port St Lucie, FL 34983-3392
Phone (772) 462-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072340100 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009911 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392681600000",
"number": "1154527208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 NW MILNER DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349833392",
"telephone_number": "772-462-3800",
"fax_number": "772-462-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 NW LAKE WHITNEY PL",
"address_2": "SUITE 106",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861619",
"telephone_number": "772-462-3800",
"fax_number": "772-462-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "RAJINDER",
"name_prefix": "Dr.",
"credential": "B.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2014-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "009911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "072340100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.