Sanket R Nagarkar, DDS, MPH

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13224 Issued in MN

Practice address

3161 Northdale Blvd
Coon Rapids, MN 55433

Phone

(763) 210-7096

NPI assigned

May 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• PDG, P.a.

  dba Park Dental

  • Dental Clinic/Center
  • Coon Rapids, MN
  • NPI 1285993345
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1467899708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 2ND AVE S",
            "address_2": "APT 614",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012000",
            "telephone_number": "716-430-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 NORTHDALE BLVD",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-210-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARKAR",
        "first_name": "SANKET",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth A Myles, MD
• Barbara A Naber, CRNA
• Mersiha Nadarevic
• Kayla Marie Naess, DC
• Gauri Nagargoje, M.D.
• Whitney Nagel
• Yashmin Nagujja
• Brittany Narloch, COTA/L
• Abdulhussain M Nathani, MD
• Nathers Development Center LLC

• General Practice Dentistry in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.

Verify at the official NPI Registry.