Kansagra West Chester Modern Dentistry PC, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KANSAGRA WEST CHESTER MODERN DENTISTRY PC, INC.

Practice address

7703 Voice of America Center Drive
Suite 200
West Chester Township, OH 45069

Phone

(513) 653-2847

Fax

(513) 412-5191

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Bindu B. Kansagra, DDS

Title

Owner

Phone

(513) 653-2847

Specialties & licenses 1

Addresses

Other names 1

• West Chester Modern Dentistry Doing business as

Locations

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1114693207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 VOICE OF AMERICA CENTER DRIVE",
            "address_2": "SUITE 200",
            "city": "WEST CHESTER TOWNSHIP",
            "state": "OH",
            "postal_code": "45069",
            "telephone_number": "513-653-2847",
            "fax_number": "513-412-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAGRA WEST CHESTER MODERN DENTISTRY PC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "KANSAGRA",
        "authorized_official_first_name": "BINDU",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-653-2847",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Chester Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Anne Dowden, FNP-BC
• Jordan Lea Marchewka, OTR/L
• Passport Health Holdings, LLC
• Auston Smith, CDCA
• Emilie Marie Wilson, FNP-C

• General Practice Dentistry in West Chester Township, OH
• Providers in West Chester Township, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.