Individual provider Active NPI

Tara Priscilla Karran, RDH

  • Dental Hygienist
  • South Ozone Park, NY
National Provider Identifier
1427817097
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
022339 Issued in NY
Practice address
14914 125TH St
South Ozone Park, NY 11420-4111
Phone
(917) 676-0026
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 022339 NY Primary

Addresses

Primary practice location

14914 125TH St
South Ozone Park, NY 11420-4111

Mailing address

14914 125TH St
South Ozone Park, NY 11420-4111
Phone (917) 676-0026

Other names 1

  • Miss Tara Priscilla Purnwasy Former name

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
022339NYMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1427817097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14914 125TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114204111",
            "telephone_number": "917-676-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14914 125TH ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114204111",
            "telephone_number": "917-676-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRAN",
        "first_name": "TARA",
        "middle_name": "PRISCILLA",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "022339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PURNWASY",
            "middle_name": "PRISCILLA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.