Active NPI
Prateek Sood Brar, DDS
- Dentist
- Rancho Cordova, CA
National Provider Identifier
1821745506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 107317
- Practice address
- 2001 Zinfandel Dr Ste B1
Rancho Cordova, CA 95670-4265 - Phone
- (916) 638-9832
- NPI assigned
- Mar 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 107317 | CA | Primary |
Addresses
Primary practice location
2001 Zinfandel Dr Ste B1
Rancho Cordova, CA 95670-4265
Mailing address
1871 Petite Syrah LN
Roseville, CA 95747-6684
Phone (209) 617-4193
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107317 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prateek Brar DDS Inc | Dentist | Current | 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.
-
- Dentist
- Roseville, CA
- NPI 1194582262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1821745506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1871 PETITE SYRAH LN",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957476684",
"telephone_number": "209-617-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 ZINFANDEL DR STE B1",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956704265",
"telephone_number": "916-638-9832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAR",
"first_name": "PRATEEK",
"middle_name": "SOOD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-03",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "107317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.