Active NPI
Shruti Bajaj, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lubbock, TX
National Provider Identifier
1295325744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 36978
- Practice address
- 5240 114TH St Apt 502
Lubbock, TX 79424-6483 - Phone
- (954) 702-3751
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 36978 | TX | Primary |
Addresses
Primary practice location
5240 114TH St Apt 502
Lubbock, TX 79424-6483
Mailing address
5240 114TH St Apt 502
Lubbock, TX 79424-6483
Phone (954) 702-3751
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36978 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1295325744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5240 114TH ST APT 502",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246483",
"telephone_number": "954-702-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 114TH ST APT 502",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246483",
"telephone_number": "954-702-3751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJAJ",
"first_name": "SHRUTI",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "36978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.