Individual provider Active NPI

Pooja A Maheshwary, DMD

  • Dentist
  • Cary, NC
National Provider Identifier
1356865349
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10794 Issued in NC
Practice address
2613 Green Level West Rd
Cary, NC 27519-8284
Phone
(919) 589-0270
NPI assigned
Aug 1, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10794 NC Primary

Addresses

Primary practice location

2613 Green Level West Rd
Cary, NC 27519-8284

Mailing address

1064 Bender Ridge Dr
Morrisville, NC 27560-8187
Phone (908) 922-5615

Other practice location 1

12450 Cleveland Rd Ste 200
Garner, NC 27529-8355
Phone (919) 586-8372

Other practice location 2

15 Rawls Church road
suite 200
Angier, NC 27501
Phone (919) 586-8372

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
10794NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lane and Associates III, DDS PA Past Accepting new patients
Lane & Associates Xix DDS PA Dentist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356865349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 BENDER RIDGE DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608187",
            "telephone_number": "908-922-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 GREEN LEVEL WEST RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198284",
            "telephone_number": "919-589-0270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12450 Cleveland Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garner",
            "state": "NC",
            "postal_code": "275298355",
            "country_code": "US",
            "telephone_number": "919-586-8372",
            "fax_number": "919-639-8654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Rawls Church road",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "27501",
            "country_code": "US",
            "telephone_number": "919-586-8372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHESHWARY",
        "first_name": "POOJA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "10794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.