Individual provider Active NPI

Rajiv N Kalra, DMD

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1760895429
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20810 Issued in FL
Practice address
3306 W Kennedy Blvd
Tampa, FL 33609-2904
Phone
(813) 879-9000
Fax
(813) 879-9000
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN20810 FL Primary
Dentist 122300000X 0401414443 VA

Addresses

Primary practice location

3306 W Kennedy Blvd
Tampa, FL 33609-2904

Mailing address

3306 W Kennedy Blvd
Tampa, FL 33609-2904
Phone (813) 879-9000

Other practice location 1

6671B Backlick Rd # 15-17
Springfield, VA 22150-2702
Phone (703) 992-7050

Other practice location 2

6671B Backlick Rd # 15-17
Springfield, VA 22150-2702
Phone (703) 992-7050

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

LicenseStateTypeSpecialty
0401414443VAMDDentist
DN20810FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Agoka Dental PLLC Dentist Past 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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1760895429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092904",
            "telephone_number": "813-879-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092904",
            "telephone_number": "813-879-9000",
            "fax_number": "813-879-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6671B Backlick Rd # 15-17",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221502702",
            "country_code": "US",
            "telephone_number": "703-992-7050",
            "fax_number": "703-992-7456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6671B Backlick Rd # 15-17",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221502702",
            "country_code": "US",
            "telephone_number": "703-992-7050",
            "fax_number": "703-992-7456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALRA",
        "first_name": "RAJIV",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20810",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414443",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.