Individual provider Active NPI

Parul Ajmani Elera, DDS

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1275914053
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6708 Issued in OK
Practice address
9405 N. Penn Place, Casady Square
Oklahoma City, OK 73120-3801
Phone
(405) 753-9090
Fax
(405) 755-6896
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6708 OK Primary

Addresses

Primary practice location

9405 N. Penn Place, Casady Square
Oklahoma City, OK 73120-3801

Mailing address

9405 N. Penn Place, Casady Square
Oklahoma City, OK 73120-3801
Phone (405) 753-9090

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

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1275914053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 N. PENN PLACE, CASADY SQUARE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801",
            "telephone_number": "405-753-9090",
            "fax_number": "405-755-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 N. PENN PLACE, CASADY SQUARE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801",
            "telephone_number": "405-753-9090",
            "fax_number": "405-755-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJMANI ELERA",
        "first_name": "PARUL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.