Individual provider Active NPI

Karleen Boparai, DMD

  • General Practice Dentistry
  • Concord, CA
National Provider Identifier
1992005946
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58023 Issued in CA
Practice address
4425 Treat Blvd Ste a
Concord, CA 94521-2762
Phone
(925) 363-7715
Fax
(925) 363-7714
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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 58023 CA Primary

Addresses

Primary practice location

4425 Treat Blvd Ste a
Concord, CA 94521-2762

Mailing address

641 Dunhill Dr
Danville, CA 94506-1354
Phone (617) 306-8479

Other practice location 1

39572 Stevenson Pl
Suite 227
Fremont, CA 94539-3075
Phone (510) 790-0590

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150806009734 CA Order and Referring Only - DentistPractitioner - Dentist 9234443136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58023CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Peak Dental Care General Practice Past Accepting new patients
Aparna Borole DDS, Inc. PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1992005946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 DUNHILL DR",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945061354",
            "telephone_number": "617-306-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 TREAT BLVD STE A",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212762",
            "telephone_number": "925-363-7715",
            "fax_number": "925-363-7714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39572 Stevenson Pl",
            "address_2": "Suite 227",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945393075",
            "country_code": "US",
            "telephone_number": "510-790-0590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOPARAI",
        "first_name": "KARLEEN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.