Individual provider Active NPI

Harveen Kaur Gujral, DDS

  • Pediatric Dentistry
  • Binghamton, NY
National Provider Identifier
1447761622
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
059503 Issued in NY
Practice address
289 Chenango St
Binghamton, NY 13901-2312
Phone
(607) 217-7123
Fax
(607) 217-7123
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 059503 NY
Pediatric Dentistry 1223P0221X 059503 NY Primary

Addresses

Primary practice location

289 Chenango St
Binghamton, NY 13901-2312

Mailing address

289 Chenango St
Binghamton, NY 13901-2312
Phone (607) 217-7123

Other practice location 1

728 E Ridge Rd
Rochester, NY 14621-1719
Phone (585) 491-7800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212002228 NY Order and Referring Only - DentistPractitioner - Dentist 8921346230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
059503NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1447761622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 CHENANGO ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012312",
            "telephone_number": "607-217-7123",
            "fax_number": "607-217-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 CHENANGO ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012312",
            "telephone_number": "607-217-7123",
            "fax_number": "607-217-7123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146211719",
            "country_code": "US",
            "telephone_number": "585-491-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUJRAL",
        "first_name": "HARVEEN",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059503",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.