Individual provider Active NPI

Tarun Narinder Kirpalani, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Glen Rock, NJ
National Provider Identifier
1790171536
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22DI02583800 Issued in NJ
Practice address
Ridgewood Oral Surgery & Implant Center
385 Maple Avenue, Suite 207
Glen Rock, NJ 07452
Phone
(201) 444-5355
NPI assigned
Apr 8, 2015
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI02583800 NJ Primary

Addresses

Primary practice location

Ridgewood Oral Surgery & Implant Center
385 Maple Avenue, Suite 207
Glen Rock, NJ 07452

Mailing address

Ridgewood Oral Surgery & Implant Center
385 Maple Avenue, Suite 207
Glen Rock, NJ 07452
Phone (201) 444-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190125001544 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901143197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02583800NJMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgewood Oral Surgery Center LLC Oral and Maxillofacial Surgery CurrentSince Jul 25, 2021 Accepting new patients

Locations

385 S Maple Ave
Ste 207
Glen Rock, NJ 07452
Phone (201) 380-2236

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: tkirpalani20736@sbhny.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1790171536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIDGEWOOD ORAL SURGERY & IMPLANT CENTER",
            "address_2": "385 MAPLE AVENUE, SUITE 207",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "07452",
            "telephone_number": "201-444-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIDGEWOOD ORAL SURGERY & IMPLANT CENTER",
            "address_2": "385 MAPLE AVENUE, SUITE 207",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "07452",
            "telephone_number": "201-444-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRPALANI",
        "first_name": "TARUN",
        "middle_name": "NARINDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI02583800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.