Individual provider Active NPI

Hirnakshi Pal

  • General Practice Dentistry
  • Cary, NC
National Provider Identifier
1942881230
Registry record updated Apr 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12048 Issued in NC
Practice address
140 Preston Executive Dr Ste 200
Cary, NC 27513-8488
Phone
(919) 467-6111
NPI assigned
Apr 18, 2021
Last updated
Apr 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12048 NC Primary

Addresses

Primary practice location

140 Preston Executive Dr Ste 200
Cary, NC 27513-8488

Mailing address

1228 Alston Manor St
Cary, NC 27519-7613
Phone (919) 987-4221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220715000910 NC Order and Referring Only - DentistPractitioner - Dentist 5597146050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12048NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mark G. Castor PastSince Apr 25, 2021 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": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1942881230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 ALSTON MANOR ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275197613",
            "telephone_number": "919-987-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PRESTON EXECUTIVE DR STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138488",
            "telephone_number": "919-467-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAL",
        "first_name": "HIRNAKSHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.