Individual provider Active NPI

Alamdeep Brar, DDS

  • Dentist
  • Carteret, NJ
National Provider Identifier
1801404835
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS042814 Issued in PA
Practice address
9A Harrison Ave
Carteret, NJ 07008-1757
Phone
(848) 219-9197
NPI assigned
Jul 15, 2020
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02810900 NJ
Dentist 122300000X DS042814 PA Primary

Addresses

Primary practice location

9A Harrison Ave
Carteret, NJ 07008-1757

Mailing address

9A Harrison Ave
Carteret, NJ 07008-1757
Phone (848) 219-9197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230605000938 PA Practitioner - Oral Surgery 9638536881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02810900NJMDDentist
DS042814PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Choice Dental Group LP CurrentSince Apr 19, 2023 Accepting new patients

Locations

8911 Krewstown Rd
Philadelphia, PA 19115
Phone (215) 297-3500

6784 Market St
Upper Darby, PA 19082
Phone (484) 462-0171

Organizations & group practices 8

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1801404835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9A HARRISON AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081757",
            "telephone_number": "848-219-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A HARRISON AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070081757",
            "telephone_number": "848-219-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "ALAMDEEP",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02810900",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carteret, NJ

Sources for this page

Verify at the official NPI Registry.