Yash Rashmikant Kansagra, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043913 Issued in PA

Practice address

1111 N 19TH St
Allentown, PA 18104-3001

Phone

(610) 434-3310

Fax

(610) 434-4270

NPI assigned

Nov 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Imad S Abraham DDS Family Dentistry

  • Dentist
  • Allentown, PA
  • NPI 1043518574
  NPD (past)
• Imad S Abraham DDS Family Dentistry

  • General Practice Dentistry
  • Allentown, PA
  • NPI 1144497751
  NPD (past)

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1043928013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N 19TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043001",
            "telephone_number": "610-434-3310",
            "fax_number": "610-434-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N 19TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181043001",
            "telephone_number": "610-434-3310",
            "fax_number": "610-434-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANSAGRA",
        "first_name": "YASH",
        "middle_name": "RASHMIKANT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "familydent1111@hotmail.com",
            "affiliation": "Y",
            "affiliationName": "Imad S Abraham DDS Family Dentistry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1111 N 19th St",
            "city": "Allentown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "181043001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vivien G Kane, M.D.
• Nidhi Kaneria, PA-C
• Corrine Kanetski, RD, LDN
• Jamie Seon Kang, DMD
• Timothy Kannapel, CRNP
• Noelle Kantra, LPC
• Jason E Kaplan, D.O.
• Jerome P Kaplan, DDS
• Arun Kapoor, MD
• Ryan Kappel

• General Practice Dentistry in Allentown, PA
• Providers in Allentown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.