Individual provider Active NPI

Harjot Kaler, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Modesto, CA
National Provider Identifier
1831823954
Registry record updated Jan 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
107565 Issued in CA
Practice address
4101 Tully Rd Ste 401
Modesto, CA 95356-8982
Phone
(209) 575-5888
NPI assigned
Jul 14, 2022
Last updated
Jan 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 107565 CA Primary

Addresses

Primary practice location

4101 Tully Rd Ste 401
Modesto, CA 95356-8982

Mailing address

4101 Tully Rd
Modesto, CA 95356-8980
Phone (209) 575-5888

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.championsmiles.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240923004173 CA Order and Referring Only - DentistPractitioner - Dentist 1456892058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107565CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tasker & Rowan Dental Corporation of Modesto Orthodontics and Dentofacial Orthopedics CurrentSince Jul 17, 2022 Accepting new patients

Locations

4101 Tully Rd
Ste 401
Modesto, CA 95356
Phone (209) 575-5888

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1831823954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 TULLY RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568980",
            "telephone_number": "209-575-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 TULLY RD STE 401",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568982",
            "telephone_number": "209-575-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALER",
        "first_name": "HARJOT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "107565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.championsmiles.com/",
            "affiliation": "N",
            "address_1": "4101 Tully Rd Ste 401",
            "city": "Modesto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953568982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.