Active NPI
Prajakta Shreeram Kulkarni, BDS, MS, MSD
- Prosthodontics
- Augusta, GA
National Provider Identifier
1669966016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DNF000443
- Practice address
- 1430 John Wesley Gilbert Dr
Augusta, GA 30912-2159 - Phone
- (706) 721-2371
- Fax
- (706) 721-6778
- NPI assigned
- Jun 19, 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DNF000443 | GA | Primary |
Addresses
Primary practice location
1430 John Wesley Gilbert Dr
Augusta, GA 30912-2159
Mailing address
1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001
Phone (706) 721-7913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003257098A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821002399 | GA | Order and Referring Only - Dentist | 3577815133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Interoperability endpoints
- pkulkarni397862@direct-ucsfmedicalcenter.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1669966016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 JOHN WESLEY GILBERT DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120001",
"telephone_number": "706-721-7913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 JOHN WESLEY GILBERT DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309122159",
"telephone_number": "706-721-2371",
"fax_number": "706-721-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULKARNI",
"first_name": "PRAJAKTA SHREERAM",
"name_prefix": "Dr.",
"credential": "BDS, MS, MSD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "DNF000443",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003257098A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.