Jagdish R Kothari, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

034554 Issued in NY

Practice address

1900 Genesee St
Utica, NY 13502-5635

Phone

(315) 735-7278

NPI assigned

Oct 13, 2005

Last updated

Dec 16, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1093703936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8078",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135058078",
            "telephone_number": "315-735-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025635",
            "telephone_number": "315-735-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "JAGDISH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "034554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Grace Korrie, LMSW
• Cynthia Koscinski
• Michelle Koscinski
• Miriam Kosmoski, PA-C
• Darshan Kothari, M.D.
• Jehangir Keki Kotwal, MD
• Julieanne Koury, M.S. ED., CCC-SLP
• Liliya A Kovalevich, LMSW
• John S. Kowalczyk, D.D.S.
• Lauren L Kozak, PT

• Dentist in Utica, NY
• Providers in Utica, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.

Verify at the official NPI Registry.