Individual provider Active NPI

Nirupa Gariga, D.D.S

  • Dentist
  • Kirksville, MO
National Provider Identifier
1174907323
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2015022264 Issued in MO
Practice address
19051 Tamarack TRL
Kirksville, MO 63501-7107
Phone
(785) 317-1693
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2015022264 MO Primary

Addresses

Primary practice location

19051 Tamarack TRL
Kirksville, MO 63501-7107

Mailing address

19051 Tamarack TRL
Kirksville, MO 63501-7107
Phone (785) 317-1693

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

LicenseStateTypeSpecialty
2015022264MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Primary Care Services Past Accepting new patients

Organizations & group practices 1

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": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1174907323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19051 TAMARACK TRL",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635017107",
            "telephone_number": "785-317-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19051 TAMARACK TRL",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635017107",
            "telephone_number": "785-317-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIGA",
        "first_name": "NIRUPA",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015022264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.