Individual provider Active NPI

Praakrut Purohit, DMD

  • General Practice Dentistry
  • Mount Pleasant, WI
National Provider Identifier
1235977422
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6001997-15 Issued in WI
Practice address
1101 S Airline Rd
Mount Pleasant, WI 53406-3888
Phone
(262) 637-9371
NPI assigned
Jul 19, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 6001997-15 WI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1101 S Airline Rd
Mount Pleasant, WI 53406-3888

Mailing address

1101 S Airline Rd
Mount Pleasant, WI 53406-3888
Phone (262) 637-9371

Other practice location 1

8170 33rd Ave S
Bloomington, MN 55425-4516
Phone (952) 541-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20241009001345 MN Order and Referring Only - DentistPractitioner - Dentist 4587195912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6001997-15WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Dental Center LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

1101 S Airline Rd
Mount Pleasant, WI 53406
Phone (262) 333-3744

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1235977422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S AIRLINE RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063888",
            "telephone_number": "262-637-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S AIRLINE RD",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534063888",
            "telephone_number": "262-637-9371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8170 33rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "MN",
            "postal_code": "554254516",
            "country_code": "US",
            "telephone_number": "952-541-2802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUROHIT",
        "first_name": "PRAAKRUT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-19",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001997-15",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.