Active NPI
Ranbir Kaur Kler
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1588310213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 063591
- Practice address
- 13631 Roosevelt Ave Ste 2
Flushing, NY 11354 - Phone
- (718) 445-4100
- NPI assigned
- Feb 22, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 063591 | NY | Primary |
Addresses
Primary practice location
13631 Roosevelt Ave Ste 2
Flushing, NY 11354
Mailing address
3014 79TH St
East Elmhurst, NY 11370-1510
Phone (646) 346-0844
Other practice location 1
SUNY at Stony Brook Hospital Dentistry
151 Westchester Hall
Stony Brook, NY 11794
Phone (631) 444-2557
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 |
|---|---|---|---|
| 063591 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1588310213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 79TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701510",
"telephone_number": "646-346-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13631 ROOSEVELT AVE STE 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11354",
"telephone_number": "718-445-4100"
}
],
"practiceLocations": [
{
"address_1": "SUNY at Stony Brook Hospital Dentistry",
"address_2": "151 Westchester Hall",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "11794",
"country_code": "US",
"telephone_number": "631-444-2557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLER",
"first_name": "RANBIR",
"middle_name": "KAUR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "063591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.