Kanchan Pande, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22275 Issued in MA

Practice address

142A Danielson Pike
Foster, RI 02825-1485

Phone

(401) 647-3702

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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.

• Northwest Community Health Care

  • Federally Qualified Health Center (FQHC)
  • Pascoag, RI
  • NPI 1245219070
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in RI

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

State licenses

Practice roles

• Kanchan Tiwari Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2014.

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1104074202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 MAGNOLIA RD",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020672470",
            "telephone_number": "339-364-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142A DANIELSON PIKE",
            "city": "FOSTER",
            "state": "RI",
            "postal_code": "028251485",
            "telephone_number": "401-647-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDE",
        "first_name": "KANCHAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "22275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANCHAN",
            "last_name": "TIWARI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christian P. Mueller, MD
• Wendy Mumford, LICSW
• Nancy Ann Nursing Home, Inc.
• Carol Niederer, M.S., CCC-SLP
• Northwest Community Health Care
• Potterville Fire Department Inc
• Pugliese Natural Medicine PLLC
• Nancy Ann Puth, D.C.
• Rising Hope Counseling Services, LLC
• South Foster Fire Department No 1

• All providers in Foster, RI
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.