Individual provider Active NPI

Raghbir Kaur, DMD

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1679722920
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22DI02494000 Issued in NJ
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

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920001129 NY Order and Referring Only - DentistPractitioner - Dentist 3072864651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02494000NJMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.