Active NPI
Supriya Narang, D.M.D
- General Practice Dentistry
- Fort Lauderdale, FL
National Provider Identifier
1477031771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN1714-
- Practice address
- 780 SW 24TH St
Fort Lauderdale, FL 33315-2643 - Phone
- (954) 467-4700
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN1714- | FL | Primary |
Addresses
Primary practice location
780 SW 24TH St
Fort Lauderdale, FL 33315-2643
Mailing address
19389 SW 64TH St
Fort Lauderdale, FL 33332-3357
Phone (954) 816-2063
Other practice location 1
19389 SW 64th St
Fort Lauderdale, FL 33332-3357
Phone (954) 816-2063
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1714- | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1477031771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19389 SW 64TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333323357",
"telephone_number": "954-816-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 SW 24TH ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333152643",
"telephone_number": "954-467-4700"
}
],
"practiceLocations": [
{
"address_1": "19389 SW 64th St",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333323357",
"country_code": "US",
"telephone_number": "954-816-2063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NARANG",
"first_name": "SUPRIYA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN1714-",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.