Individual provider Active NPI

Preetinder Kulaar

  • Dentist
  • Indianapolis, IN
National Provider Identifier
1700312170
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012712A Issued in IN
Practice address
6150 E 82ND St # 100
Indianapolis, IN 46250-1500
Phone
(317) 577-5758
NPI assigned
May 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012712A IN Primary

Addresses

Primary practice location

6150 E 82ND St # 100
Indianapolis, IN 46250-1500

Mailing address

1404 Hillcot LN
Indianapolis, IN 46231-4209

Other practice location 1

2909 County Home Rd
Goshen, IN 46526-5866
Phone (877) 357-9289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20171206001209 IN Order and Referring Only - DentistPractitioner - Dentist 4789941303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kulaar Dental Group Inc Current Accepting new patients

Organizations & group practices 1

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": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1700312170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 HILLCOT LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462314209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 E 82ND ST # 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501500",
            "telephone_number": "317-577-5758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 County Home Rd",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265866",
            "country_code": "US",
            "telephone_number": "877-357-9289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULAAR",
        "first_name": "PREETINDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012712A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.