NPIMap

Organization Active NPI

Iti Agarwal, DDS, P.a.

  • Dental Clinic/Center
  • Milton, FL
National Provider Identifier
1851929434
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ITI AGARWAL, DDS, P.A.
Practice address
5810 Highway 90
Milton, FL 32583-1762
Phone
(301) 806-7719
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Iti AgarwalNPI 1366858870
Title
President
Phone
(301) 806-7719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5810 Highway 90
Milton, FL 32583-1762

Mailing address

2855 Magnolia Ave
Pensacola, FL 32503-4875

National Provider Directory

National Provider Directory

Locations

5810 Highway 90
Milton, FL 32583
Phone (301) 806-7719

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1851929434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MAGNOLIA AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 HIGHWAY 90",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325831762",
            "telephone_number": "301-806-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITI AGARWAL, DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "ITI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-806-7719"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.