Individual provider Active NPI

Karan Nadig, DMD

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1225635857
Registry record updated May 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100245315 Issued in WI
Practice address
120 Nassau Ave
Brooklyn, NY 11222-4024
Phone
(347) 560-4540
NPI assigned
Oct 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 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 100245315 WI
Dentist 122300000X 100245315 WI Primary

Addresses

Primary practice location

120 Nassau Ave
Brooklyn, NY 11222-4024

Mailing address

3248 Clarks Bridge Rd
Gainesville, GA 30506-3722
Phone (857) 206-9990

Other practice location 1

5542 W Fond Du Lac Ave
Milwaukee, WI 53216-1200
Phone (414) 240-0935

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
100245315WIMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715472000000",
    "number": "1225635857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 CLARKS BRIDGE RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305063722",
            "telephone_number": "857-206-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NASSAU AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112224024",
            "telephone_number": "347-560-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5542 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532161200",
            "country_code": "US",
            "telephone_number": "414-240-0935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADIG",
        "first_name": "KARAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2024-05-12",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "100245315",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "100245315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2024; 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.