Nitin Agrawal, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN26196 Issued in FL

Practice address

12651 W Sunrise Blvd Ste 300
Sunrise, FL 33323-0906

Phone

(617) 816-0261

NPI assigned

Oct 19, 2011

Last updated

Oct 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agrawal Endodontics PLLC

  dba Axxon Endodontics

  • Endodontics
  • Sunrise, FL
  • NPI 1477372910
  NPD Authorized official

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1255616421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 300",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 W SUNRISE BLVD STE 300",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333230906",
            "telephone_number": "617-816-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "NITIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN26196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fe Dories Libunao Agdeppa, RPT
• Shanica Agenord
• Yakzan A Agharaad, CERTIFIED PROSTHETIC
• Aging Grace Inc.
• Agrawal Endodontics PLLC (Axxon Endodontics)
• Francy Miribeth Agudelo
• Allison Aguila
• Alyssa Jasmin Aguila
• Jael G Aguilar
• Natalia Sofia Aguilar, BCBA

• Endodontics in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.