Krupa Jani, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12794 Issued in NC

Practice address

3001 Raleigh Road Pkwy W Ste B
Wilson, NC 27896-8213

Phone

(252) 293-4469

NPI assigned

Apr 26, 2007

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Higgins Mani & Watson IX DDS PA

  dba The Dental Care Center

  • General Practice Dentistry
  • Bunn, NC
  • NPI 1093475998
  NPD
• Dental Professionals of Illinois, P.C.

  dba Redbird Dental Care

  • General Practice Dentistry
  • Bloomington, IL
  • NPI 1093937369
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1790905230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 EAGLE POINT LN",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278967395",
            "telephone_number": "199-359-7439",
            "fax_number": "866-570-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 RALEIGH ROAD PKWY W STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968213",
            "telephone_number": "252-293-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANI",
        "first_name": "KRUPA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027091",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12794",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "12794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jackson, PHARMD
• Megan Alexandra Jackson
• Shannon Byrd Jackson, RD, LDN
• Sopna E Jacob, MD
• Amanda H Janda, PA-C
• Anita Burleson Jarrard, MSW, LCSW
• Nirav Manubhai Jasani, MD
• Jasmine R Elmore DDS PLLC
• Jeremy Jeffers
• Jenkins Business Ventures LLC (A2Z In Home Care)

• Pediatric Dentistry in Wilson, NC
• Providers in Wilson, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.