Individual provider Active NPI

Kratika Pareek, D.M.D

  • Dentist
  • Conyers, GA
National Provider Identifier
1841609344
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN014851 Issued in GA
Practice address
1152 Old Salem Rd SE
Conyers, GA 30094-5944
Phone
(678) 836-2140
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN014851 GA Primary

Addresses

Primary practice location

1152 Old Salem Rd SE
Conyers, GA 30094-5944

Mailing address

1120 Beacon Pkwy E
Apt 206
Birmingham, AL 35209-1022
Phone (205) 253-2913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150728004333 GA Order and Referring Only - DentistPractitioner - Dentist 6608180187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN014851GAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1841609344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BEACON PKWY E",
            "address_2": "APT 206",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352091022",
            "telephone_number": "205-253-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 OLD SALEM RD SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945944",
            "telephone_number": "678-836-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREEK",
        "first_name": "KRATIKA",
        "name_prefix": "Mrs.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN014851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.