Individual provider Active NPI

Rajesh Jaglal, DMD

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1841671666
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30998 Issued in TX
Practice address
3120 S Alameda St
Corpus Christi, TX 78404-2506
Phone
(361) 887-6200
NPI assigned
Jun 17, 2015
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
30998TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Smiles PLLC CurrentSince Oct 19, 2020 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

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.

Verify at the official NPI Registry.