Individual provider Active NPI

Garima Dhariwal

  • Dentist
  • Appleton, WI
National Provider Identifier
1548079890
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6001984-15 Issued in WI
Practice address
5337 W Grande Market Dr
Appleton, WI 54913-8442
Phone
(920) 731-7445
Fax
(920) 882-2946
NPI assigned
Jan 2, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250808001935 CO Order and Referring Only - DentistPractitioner - Dentist 9335647395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6001984-15WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership Community Health Center, Inc Past Accepting new patients
Partnership Community Health Center, Inc Past Accepting new patients
Partnership Community Health Center, Inc Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6001984-15 WI Primary

Addresses

Primary practice location

5337 W Grande Market Dr
Appleton, WI 54913-8442

Mailing address

5337 W Grande Market Dr
Appleton, WI 54913-8442
Phone (920) 731-7445

Other practice location 1

825 W Fulton St
Waupaca, WI 54981-1471
Phone (920) 731-7445

Other practice location 2

550 City Ctr
Oshkosh, WI 54901-4830
Phone (920) 731-7445

Other identifiers 1

IdentifierTypeStateIssuer
100385352MedicaidWI

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1548079890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138442",
            "telephone_number": "920-731-7445",
            "fax_number": "920-404-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 W GRANDE MARKET DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138442",
            "telephone_number": "920-731-7445",
            "fax_number": "920-882-2946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Waupaca",
            "state": "WI",
            "postal_code": "549811471",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "534-429-2778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 City Ctr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549014830",
            "country_code": "US",
            "telephone_number": "920-731-7445",
            "fax_number": "920-651-3485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHARIWAL",
        "first_name": "GARIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6001984-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100385352",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.