Active NPI
Shevata Kaul, DDS
- Dentist
- Grosse Pointe, MI
National Provider Identifier
1043384845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901019232
- Practice address
- 17700 Mack Avenue
Grosse Pointe, MI 48224 - Phone
- (313) 882-2211
- Fax
- (313) 882-5434
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901019232 | MI | Primary |
Addresses
Primary practice location
17700 Mack Avenue
Grosse Pointe, MI 48224
Mailing address
14115 Larkspur Dr
Shelby TWP, MI 48315
Phone (248) 495-5801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160203002089 | MI | Order and Referring Only - Oral Surgery | 7113221631 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043384845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14115 LARKSPUR DR",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "48315",
"telephone_number": "248-495-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17700 MACK AVENUE",
"city": "GROSSE POINTE",
"state": "MI",
"postal_code": "48224",
"telephone_number": "313-882-2211",
"fax_number": "313-882-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUL",
"first_name": "SHEVATA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901019232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grosse Pointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.