Individual provider Active NPI

Kruti Jhaveri, DMD

  • Dentist
  • Brockton, MA
National Provider Identifier
1750922670
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN1858499 Issued in MA
Practice address
641 Belmont St
Brockton, MA 02301-4928
Phone
(508) 436-2756
NPI assigned
Oct 2, 2019
Last updated
Oct 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1858499 MA Primary

Addresses

Primary practice location

641 Belmont St
Brockton, MA 02301-4928

Mailing address

530 Western Ave Apt 405
Brighton, MA 02135-1036
Phone (860) 508-4492

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN1858499MAMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1750922670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 WESTERN AVE APT 405",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021351036",
            "telephone_number": "860-508-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 BELMONT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014928",
            "telephone_number": "508-436-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHAVERI",
        "first_name": "KRUTI",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1858499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.