Individual provider Active NPI

Rajan Kshatri, D.D.S.

  • General Practice Dentistry
  • Madison, TN
National Provider Identifier
1023252939
Registry record updated Jan 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8971 Issued in TN
Practice address
231 W Old Hickory Blvd
Suite a
Madison, TN 37115-3664
Phone
(615) 865-5750
Fax
(615) 868-8638
NPI assigned
Apr 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2013

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 8971 TN Primary

Addresses

Primary practice location

231 W Old Hickory Blvd
Suite a
Madison, TN 37115-3664

Mailing address

231 W Old Hickory Blvd
Suite a
Madison, TN 37115-3664
Phone (615) 865-5750

Other identifiers 1

IdentifierTypeStateIssuer
1513465MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8971TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Family Dental, LLC General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1023252939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W OLD HICKORY BLVD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153664",
            "telephone_number": "615-865-5750",
            "fax_number": "615-868-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W OLD HICKORY BLVD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153664",
            "telephone_number": "615-865-5750",
            "fax_number": "615-868-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSHATRI",
        "first_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513465",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.