Individual provider Active NPI

Harneet Kaur Brar

  • Dentist
  • Fresno, CA
National Provider Identifier
1316780596
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110169 Issued in CA
Practice address
3481 E Shields Ave
Fresno, CA 93726-6908
Phone
(559) 226-8971
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 110169 CA Primary

Addresses

Primary practice location

3481 E Shields Ave
Fresno, CA 93726-6908

Mailing address

3374 Mitchell Ave
Clovis, CA 93619-5118
Phone (559) 970-0158

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

LicenseStateTypeSpecialty
110169CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kaur and Singh Dental Group Inc. CurrentSince Jun 23, 2024 Accepting new patients
Su Vang DDS Prof Dental Corp PastSince Jun 23, 2024 Accepting new patients

Locations

3481 E Shields Ave
Fresno, CA 93726
Phone (559) 226-8971

Organizations & group practices 2

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1316780596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3374 MITCHELL AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195118",
            "telephone_number": "559-970-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 E SHIELDS AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266908",
            "telephone_number": "559-226-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "HARNEET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

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