Tarun Agarwal, DDS
Individual provider Active NPI Dentist · Raleigh, NC
NPI 1215097183 · NPPES record last updated Jul 12, 2012
Key facts
- NPI
- 1215097183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6949 (NC)
- Practice address
- 8304 Creedmoor Rd
Raleigh, NC 27613-1697 - Phone
- (919) 870-7645
- Fax
- (919) 870-8931
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602001546 | NC | Order and Referring Only - Dentist |
5991958894 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6949 | NC | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarun Agarwal DDS PA | Current |
Accepting new patients |
Locations
8304 Creedmoor Rd
Raleigh, NC 27613
Phone (919) 870-7645
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6949 | NC | Yes |
Addresses
Primary practice location
8304 Creedmoor Rd
Raleigh, NC 27613-1697
Mailing address
8304 Creedmoor Rd
Raleigh, NC 27613-1697
Phone (919) 870-7645
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.