Individual provider Active NPI

Rajat Jaiswar, DDS

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1336890185
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
110132 Issued in CA
Practice address
3318 Niles St
Bakersfield, CA 93306-4424
Phone
(661) 495-5535
NPI assigned
Jan 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013957A IN
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 110132 CA Primary

Addresses

Primary practice location

3318 Niles St
Bakersfield, CA 93306-4424

Mailing address

3318 Niles St
Bakersfield, CA 93306-4424
Phone (661) 495-5535

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
110132CAMDDentist
12013957AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Azad DMD Inc CurrentSince Jun 23, 2024 Accepting new patients

Locations

3318 Niles St
Bakersfield, CA 93306
Phone (661) 214-8641

Organizations & group practices 1

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": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1336890185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064424",
            "telephone_number": "661-495-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 NILES ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933064424",
            "telephone_number": "661-495-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISWAR",
        "first_name": "RAJAT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013957A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.