Priyadarshini Agrawal

Primary specialty

DentistTaxonomy code 122300000X

License

D11822 Issued in OR

Practice address

1890 Waite St Ste 1
North Bend, OR 97459-1229

Phone

(541) 756-6232

NPI assigned

May 23, 2016

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pagrawal627847@direct.ochin.org

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.

• Asian and Pacific Islander Wellness Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1376798413
  Medicare reassignment NPD
• Healthright 360

  dba Haight Ashbury Free Clinic

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1760427843
  Medicare reassignment NPD
• Asian and Pacific Islander Wellness Center, Inc.

  dba San Francisco Community Health Center

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1225734650
  NPD
• Healthright 360

  dba Tenderloin Health Services

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1447279310
  NPD
• Healthright 360

  • Community Health Clinic/Center
  • San Mateo, CA
  • NPI 1558756536
  NPD
• Healthright 360

  • Federally Qualified Health Center (FQHC)
  • San Francisco, CA
  • NPI 1730363151
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1912354689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1668 LANGPORT DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940874677",
            "telephone_number": "650-669-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 WAITE ST STE 1",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974591229",
            "telephone_number": "541-756-6232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1668 Langport Dr",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940874677",
            "country_code": "US",
            "telephone_number": "650-669-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGRAWAL",
        "first_name": "PRIYADARSHINI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "D00150",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynne Acuna
• Andrew Edwin Adams, RPH
• Laura M Adams, MS
• Adapt
• Adapt (North Bend OTP)
• Nicholas Ahn, DMD
• Toyin A Akanni, DNP- PMHNP BC
• Jon Byron Albright
• John D Alharsami
• All Who Wander Counseling and Therapeutic Services, LLC

• Dentist in North Bend, OR
• Providers in North Bend, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.