Active NPI
Raghbir Kaur, DMD
- Pediatric Dentistry
- New York, NY
National Provider Identifier
1679722920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02494000
- Practice address
- 30 E 40TH St
Just 4 Kids Dental
New York, NY 10016-1201 - Phone
- (609) 712-0708
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02494000 | NJ | Primary |
Addresses
Primary practice location
30 E 40TH St
Just 4 Kids Dental
New York, NY 10016-1201
Mailing address
78 Sussex at Apt #1
Jersey City, NJ 07302-7527
Phone (609) 712-0708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20180920001129 | NY | Order and Referring Only - Dentist | 3072864651 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02494000 | NJ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Dental Health of Bridgeport PLLC | Pediatric Dentistry | Current | Accepting new patients |
| Pediatric Dental of Westchester PLLC | Pediatric Dentistry | Current | Accepting new patients |
Interoperability endpoints
- rkaur3571@direct.ynhh.org
Organizations & group practices 2
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.
-
- Pediatric Dentistry
- Larchmont, NY
- NPI 1104708536
-
- Pediatric Dentistry
- Bridgeport, CT
- NPI 1508686320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1679722920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 SUSSEX AT APT #1",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073027527",
"telephone_number": "609-712-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 40TH ST",
"address_2": "JUST 4 KIDS DENTAL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100161201",
"telephone_number": "609-712-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "RAGHBIR",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02494000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.