Shankari Kumarachandran, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11814 Issued in MD

Practice address

4115 Wilkens Ave
101
Baltimore, MD 21229-4725

Phone

(410) 737-9666

Fax

(410) 737-9667

NPI assigned

Jan 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 MD

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comptroller of Maryland Central Payroll Bureau

  dba Eastern Shore Hospital Center

  • Psychiatric Hospital
  • Cambridge, MD
  • NPI 1841281680
  Medicare reassignment NPD
• Bright Smiles, P.a.

  • Dental Clinic/Center
  • Baltimore, MD
  • NPI 1205013554
  Authorized official Same address or phone
• Comptroller of Maryland Central Payroll Bureau

  dba Springfield Hospital Center

  • Psychiatric Hospital
  • Sykesville, MD
  • NPI 1730179961
  NPD
• State of Maryland Central Payroll Bureau

  dba Charlotte Hall Veterans Home - Maryland Department of Veterans & Military Families

  • Skilled Nursing Facility
  • Charlotte Hall, MD
  • NPI 1356032734
  NPD

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174680227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10033 CARILLON DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426207",
            "telephone_number": "410-465-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 WILKENS AVE",
            "address_2": "101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294725",
            "telephone_number": "410-737-9666",
            "fax_number": "410-737-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMARACHANDRAN",
        "first_name": "SHANKARI",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preethi Kumar
• Sahayini Arulrajah Kumar, MD
• Sangeetha Kumar, MD
• Vandana Kumar, DDS, MS
• Ganesh Kumarachandran, PHARMD
• Suneeta Kumari, MD, MPH
• Sowmya Kumble, PT
• Kofi Amoa Kumi, PH.D., R.PH.
• Sean Kump, PA-C
• Molly Kumpf

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.