Active NPI
Karanjit Purewal, DMD
- Dentist
- Greenville, SC
National Provider Identifier
1730800962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9654
- Practice address
- 2078 Woodruff Rd
Greenville, SC 29607-5939 - Phone
- (864) 297-7232
- NPI assigned
- Sep 6, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9654 | SC | Primary |
Addresses
Primary practice location
2078 Woodruff Rd
Greenville, SC 29607-5939
Mailing address
101 Reedy View Dr Apt 457
Greenville, SC 29601-1877
Phone (757) 289-8313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9654 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1730800962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 REEDY VIEW DR APT 457",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296011877",
"telephone_number": "757-289-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2078 WOODRUFF RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075939",
"telephone_number": "864-297-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUREWAL",
"first_name": "KARANJIT",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "SC",
"license": "9654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.