Organization Active NPI

Gaurav Agarwal DDS, MSD, PLLC

  • Dental Clinic/Center
  • Winchester, VA
National Provider Identifier
1760635585
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0401411194 Issued in VA
Legal business name
GAURAV AGARWAL DDS, MSD, PLLC
Practice address
1705 Amherst Street
Suite 201
Winchester, VA 22601
Phone
(540) 667-5437
Fax
(540) 667-6555
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Dr. Gaurav Agarwal, DDS MSDNPI 1972645380
Title
President
Phone
(540) 667-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0401411194 VA Primary

Addresses

Primary practice location

1705 Amherst Street
Suite 201
Winchester, VA 22601

Mailing address

1705 Amherst Street
Suite 201
Winchester, VA 22601
Phone (540) 667-5437

Other names 1

  • Valley Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1705 Amherst St
Ste 201
Winchester, VA 22601
Phone (540) 667-5437

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1760635585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 AMHERST STREET",
            "address_2": "SUITE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-667-5437",
            "fax_number": "540-667-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 AMHERST STREET",
            "address_2": "SUITE 201",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-667-5437",
            "fax_number": "540-667-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAURAV AGARWAL DDS, MSD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-667-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401411194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.