Individual provider Active NPI

Tanjit Taggar, D.M.D.

  • General Practice Dentistry
  • Durham, NC
National Provider Identifier
1902284516
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
150954 Issued in NC
Practice address
230 Leigh Farm Rd
Apartment 109
Durham, NC 27707-8110
Phone
(908) 938-5998
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 13605 NC
General Practice Dentistry 1223G0001X 0401414360 VA
General Practice Dentistry 1223G0001X 150954 NC Primary

Addresses

Primary practice location

230 Leigh Farm Rd
Apartment 109
Durham, NC 27707-8110

Mailing address

2024 Chesterfield Ave Apt 109
Charlotte, NC 28205-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170104001250 NY Order and Referring Only - DentistPractitioner - Dentist 1355622465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13605NCMDEndodontist
150954NCMDGeneral Practice Dentistry
0401414360VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Belmont Endodontics LLC Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1902284516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 CHESTERFIELD AVE APT 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282050013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LEIGH FARM RD",
            "address_2": "APARTMENT 109",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277078110",
            "telephone_number": "908-938-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGAR",
        "first_name": "TANJIT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "13605",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414360",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "150954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.