Active NPI
Priyata Agrawal, DDS
- Dentist
- Schererville, IN
National Provider Identifier
1487130969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12012997A
- Practice address
- 713 US Highway 41 Ste a
Schererville, IN 46375 - Phone
- (219) 293-8039
- NPI assigned
- Jul 17, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12012997A | IN | Primary |
Addresses
Primary practice location
713 US Highway 41 Ste a
Schererville, IN 46375
Mailing address
1300 W 90TH PL Apt 305
Merrillville, IN 46410-6751
Phone (601) 383-0972
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1487130969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W 90TH PL APT 305",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106751",
"telephone_number": "601-383-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 US HIGHWAY 41 STE A",
"city": "SCHERERVILLE",
"state": "IN",
"postal_code": "46375",
"telephone_number": "219-293-8039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAWAL",
"first_name": "PRIYATA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12012997A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schererville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.