Individual provider Active NPI

Kinnary Desai

  • Student in an Organized Health Care Education/Training Program
  • Penn Hills, PA
National Provider Identifier
1134570393
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
10493 Frankstown Rd
Penn Hills, PA 15235
Phone
(412) 371-1300
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

10493 Frankstown Rd
Penn Hills, PA 15235

Mailing address

1655 5TH Ave Apt 503
Pittsburgh, PA 15219-5587
Phone (630) 405-9639

Other practice location 1

2851 University Ave
Dental Clinic
Green Bay, WI 54311-5855
Phone (630) 405-9639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20170808001243 WI Order and Referring Only - DentistPractitioner - Dentist 2860763927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1134570393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 5TH AVE APT 503",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195587",
            "telephone_number": "630-405-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10493 FRANKSTOWN RD",
            "city": "PENN HILLS",
            "state": "PA",
            "postal_code": "15235",
            "telephone_number": "412-371-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2851 University Ave",
            "address_2": "Dental Clinic",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543115855",
            "country_code": "US",
            "telephone_number": "630-405-9639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KINNARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penn Hills, PA

Sources for this page

Verify at the official NPI Registry.