Individual provider Active NPI

Kavish Gurjar

  • General Practice Dentistry
  • Rockville, MD
National Provider Identifier
1225445182
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16224 Issued in MD
Practice address
801 Pleasant Dr Ste 160
Rockville, MD 20850-5831
Phone
(240) 683-8111
NPI assigned
Jul 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS040105 PA
General Practice Dentistry 1223G0001X 16224 MD Primary

Addresses

Primary practice location

801 Pleasant Dr Ste 160
Rockville, MD 20850-5831

Mailing address

801 Pleasant Dr Ste 160
Rockville, MD 20850-5831
Phone (240) 683-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119000393 PA Order and Referring Only - DentistPractitioner - Dentist 0941582308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Dental Group, LLC General Practice CurrentSince Jul 7, 2022 Accepting new patients
David a. Pinsky DDS, PA PastSince May 19, 2024 Accepting new patients

Locations

801 Pleasant Dr
Ste 160
Rockville, MD 20850
Phone (240) 683-8111

Organizations & group practices 2

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1225445182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PLEASANT DR STE 160",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505831",
            "telephone_number": "240-683-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PLEASANT DR STE 160",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505831",
            "telephone_number": "240-683-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURJAR",
        "first_name": "KAVISH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-11",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040105",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.