Active NPI
Rajesh Jaglal, DMD
- General Practice Dentistry
- Corpus Christi, TX
National Provider Identifier
1841671666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30998
- Practice address
- 3120 S Alameda St
Corpus Christi, TX 78404-2506 - Phone
- (361) 887-6200
- NPI assigned
- Jun 17, 2015
- Last updated
- Aug 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30998 | TX | Primary |
Addresses
Primary practice location
3120 S Alameda St
Corpus Christi, TX 78404-2506
Mailing address
356 Timpany Blvd
Gardner, MA 01440-5200
Phone (954) 279-6190
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 |
|---|---|---|---|
| 30998 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardner Smiles PLLC | Current | Accepting new patients |
Locations
356 Timpany Blvd
Gardner, MA 01440
Phone (954) 279-6190
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": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1841671666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "356 TIMPANY BLVD",
"city": "GARDNER",
"state": "MA",
"postal_code": "014405200",
"telephone_number": "954-279-6190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 S ALAMEDA ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784042506",
"telephone_number": "361-887-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGLAL",
"first_name": "RAJESH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- Jessie Pruett Jacobs, DMD
- Jacquelyn F. Cole, DC, PC (Cole Chiropractic Clinic)
- Julie Brianne Jacquez
- Lauren Jaekle
- Sonam Jaggi, MD
- Jaime D Sandoval M.D., P.a. (Padre Coast Medical Associates)
- Jaime Pato Moreno Physical Therapy, Inc (Six Points Physical Therapy)
- Ana M Jaime, RN, MSN
- Natalie Jaimes
- Stephanie Ann Jaimes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.