Pratiksha Agrawal, BDS, MSC

Primary specialty

DentistTaxonomy code 122300000X

License

CA105767 Issued in CA

Practice address

704 Blossom Hill Rd Ste 100
San Jose, CA 95123-5403

Phone

(408) 363-8700

NPI assigned

Jan 24, 2017

Last updated

Jan 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Pratiksha Rajendraprasad Bhalotia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Pratiksha Agrawal Dental Services PC

  • General Practice Dentistry
  • Bloolfield Hills, MI
  • NPI 1174075816
  Authorized official Same address or phone
• Dental Dreams PLLC

  • General Practice Dentistry
  • Eastpointe, MI
  • NPI 1407263163
  NPD (past)

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1568909943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 PLANETREE PL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940868650",
            "telephone_number": "312-208-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 BLOSSOM HILL RD STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951235403",
            "telephone_number": "408-363-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W Madison St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60602",
            "country_code": "US",
            "telephone_number": "888-506-9583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22541 Gratiot Ave",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480212360",
            "country_code": "US",
            "telephone_number": "586-777-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10012 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214055",
            "country_code": "US",
            "telephone_number": "855-806-4907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 W Madison St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60602",
            "country_code": "US",
            "telephone_number": "888-506-9583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "PRATIKSHA",
        "credential": "BDS, MSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022098",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60631437",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401415375",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013080A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031038",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA105767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRATIKSHA",
            "last_name": "BHALOTIA",
            "middle_name": "RAJENDRAPRASAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Agnews Community Clinic
• Robert D Agnoletti, D.D.S.
• Tessa Agonias, PTA
• Maryia Ann Agra, BEHAVIORAL HEALTH
• Elizabeth Nicole Agramont-Justiniano
• Vivek Kumar Agrawal, MD
• Sophia Renee Agreda, MS, RDN
• Yolanda Zamora Agredano de Moreno, M.D.
• Prescilla N Agritelley, DDS
• Maricela E Aguaristi, PHYSICIAN ASSISTANT

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.