Kosha Desai

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62090 Issued in KS

Practice address

2215 SW Westport Dr
Topeka, KS 66614-1926

Phone

(785) 228-0100

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Personalized Family Dental Care of Topeka, P.a.

  • General Practice Dentistry
  • Topeka, KS
  • NPI 1801216395

  General Practice

  NPD (past)

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1083392229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 SW LAGITO DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144950",
            "telephone_number": "785-554-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SW WESTPORT DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141926",
            "telephone_number": "785-228-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KOSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "62090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Depaola
• Department of Veteran Affairs
• Angela R Depperschmidt, APRN
• Dermatology, P.a.
• Tia Dawn Derritt-Withers, PA-C
• Hannah Desch
• Mahasen T. Desilva, MD
• Annie Deters
• Brenda M. Deters, RN
• Hailey Deters

• All providers in Topeka, KS
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.