Individual provider Active NPI

Pooja Jaymin Makadia, DMD

  • Dentist
  • Burlington, NC
National Provider Identifier
1902686538
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13444 Issued in NC
Practice address
1595 Glidewell Dr Ste 104
Burlington, NC 27215-8254
Phone
(336) 524-0099
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13444 NC Primary

Addresses

Primary practice location

1595 Glidewell Dr Ste 104
Burlington, NC 27215-8254

Mailing address

2607 Pennoak Way Apt E
Greensboro, NC 27407-3943
Phone (929) 424-1765

Other names 1

  • Pooja Sureshbhai Patel Former name

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
13444NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Oler & Assoc. Burlington, P.a. Dentist PastSince Oct 8, 2023 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, 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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1902686538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 PENNOAK WAY APT E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073943",
            "telephone_number": "929-424-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 GLIDEWELL DR STE 104",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158254",
            "telephone_number": "336-524-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKADIA",
        "first_name": "POOJA",
        "middle_name": "JAYMIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POOJA",
            "last_name": "PATEL",
            "middle_name": "SURESHBHAI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.