Active NPI
Nirmal Singh Aujla, DDS
- General Practice Dentistry
- Watertown, NY
National Provider Identifier
1326255779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 049795
- Practice address
- 1304 Washington St
Watertown, NY 13601-4500 - Phone
- (315) 788-7070
- Fax
- (315) 788-6927
- NPI assigned
- May 16, 2007
- Sex
- Male
- 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 | 049795 | NY | Primary |
Addresses
Primary practice location
1304 Washington St
Watertown, NY 13601-4500
Mailing address
1304 Washington St
Watertown, NY 13601-4500
Phone (315) 788-7070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02255301 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815001826 | NY | Order and Referring Only - Dentist | 0547554545 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049795 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326255779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014500",
"telephone_number": "315-788-7070",
"fax_number": "315-788-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 WASHINGTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136014500",
"telephone_number": "315-788-7070",
"fax_number": "315-788-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUJLA",
"first_name": "NIRMAL",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02255301",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.