Individual provider Active NPI

Mallika Rupani, DDS

  • General Practice Dentistry
  • Gastonia, NC
National Provider Identifier
1710362108
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10167 Issued in NC
Practice address
2924 E Franklin Blvd
Suite #3
Gastonia, NC 28056-9448
Phone
(704) 867-0453
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10167 NC Primary

Addresses

Primary practice location

2924 E Franklin Blvd
Suite #3
Gastonia, NC 28056-9448

Mailing address

2924 E Franklin Blvd
Suite #3
Gastonia, NC 28056-9448
Phone (704) 867-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160622001638 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4688965684

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10167NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kind Dental,LLC Current Accepting new patients
DRS. Johal, Dunning & Associates, P.a. General Practice Past Accepting new patients
A. K. Richardson and Asssociates, P.a. General Practice Past Accepting new patients

Organizations & group practices 3

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": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1710362108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 E FRANKLIN BLVD",
            "address_2": "SUITE #3",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569448",
            "telephone_number": "704-867-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 E FRANKLIN BLVD",
            "address_2": "SUITE #3",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280569448",
            "telephone_number": "704-867-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPANI",
        "first_name": "MALLIKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.