Kaajal Mehra

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24715 Issued in TX

Practice address

4323 Lemmon Ave
Dallas, TX 75219-2706

Phone

(214) 522-4444

NPI assigned

Aug 13, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Elite DP LLC

  dba Elite Dental

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1629301007
  NPD (past)
• Ideal Dental of Uptown

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1629342241
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952533689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021168",
            "telephone_number": "256-741-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752192706",
            "telephone_number": "214-522-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3910 Gaston Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752461504",
            "country_code": "US",
            "telephone_number": "214-257-1082",
            "fax_number": "214-823-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHRA",
        "first_name": "KAAJAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL LICENSE",
            "identifier": "24715",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207472605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muzaffar Mehdi, MD
• Faroukh Mehkri, D.O.
• Kayla Ashley Mehl, APRN
• Katharine Mehle
• Joshua Elie Mehr
• Shaheen Mehrara, DO
• Aalap Mehta
• Abhinav Alok Mehta
• Ankit Mehta, MD
• Ankit Nikhil Mehta, M.D.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.