Active NPI
Harsimran J S Pawar
- Dentist
- Indianapolis, IN
National Provider Identifier
1912616640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12041588A
- Practice address
- 9749 E Washington St Ste A2
Indianapolis, IN 46229-3035 - Phone
- (252) 999-8438
- NPI assigned
- Nov 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0134126 | VT | |
| Dentist | 122300000X | 12041588A | IN | Primary |
Addresses
Primary practice location
9749 E Washington St Ste A2
Indianapolis, IN 46229-3035
Mailing address
9749 E Washington St Ste A2
Indianapolis, IN 46229-3035
Other practice location 1
62 Merchants Row Ste 104
Williston, VT 05495-4476
Phone (802) 497-6310
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12041588A | IN | MD | Dentist |
| 016.0134126 | VT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1912616640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9749 E WASHINGTON ST STE A2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462293035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9749 E WASHINGTON ST STE A2",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462293035",
"telephone_number": "252-999-8438"
}
],
"practiceLocations": [
{
"address_1": "62 Merchants Row Ste 104",
"address_purpose": "LOCATION",
"city": "Williston",
"state": "VT",
"postal_code": "054954476",
"country_code": "US",
"telephone_number": "802-497-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAWAR",
"first_name": "HARSIMRAN",
"middle_name": "J S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-21",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0134126",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12041588A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.