Active NPI
Raswinder Kaur Nagra, DMD
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1295990786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 58158
- Practice address
- 10811 Ashton Ave Apt 209
Los Angeles, CA 90024-4886 - Phone
- (310) 254-5241
- NPI assigned
- Jul 23, 2008
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 58158 | CA | Primary |
Addresses
Primary practice location
10811 Ashton Ave Apt 209
Los Angeles, CA 90024-4886
Mailing address
1233 Howard St Apt 3G
San Francisco, CA 94103-2774
Phone (403) 568-7666
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58158 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1295990786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 HOWARD ST APT 3G",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032774",
"telephone_number": "403-568-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10811 ASHTON AVE APT 209",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244886",
"telephone_number": "310-254-5241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGRA",
"first_name": "RASWINDER",
"middle_name": "KAUR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "58158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.