Ankita Agarwal
Individual provider Active NPI Dentist · Fremont, CA
NPI 1225403199 · NPPES record last updated Dec 3, 2015
Key facts
- NPI
- 1225403199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 64598 (CA)
- Practice address
- 1895 Mowry Ave
Suite 103
Fremont, CA 94538-1737 - Phone
- (510) 314-1475
- NPI assigned
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20211025001192 | CA | Order and Referring Only - Dentist |
3577951565 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aka Dental Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 64598 | CA | Yes |
Addresses
Primary practice location
1895 Mowry Ave
Suite 103
Fremont, CA 94538-1737
Mailing address
1895 Mowry Ave
Suite 103
Fremont, CA 94538-1737
Phone (510) 314-1475
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2015. 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.