Meetu Ralli Kohli, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS035529 Issued in PA

Practice address

450 Cresson Blvd,
Suite 303
Oaks, PA 19456-1218

Phone

(610) 676-9030

Fax

(610) 676-9032

NPI assigned

Apr 20, 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 PA

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

Practice roles

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.

• JMK Endodontics LLC

  • Endodontics
  • Wyomissing, PA
  • NPI 1720696123
  Authorized official Same address or phone
• Providence Endodontics LLC

  • Endodontics
  • Oaks, PA
  • NPI 1154548857
  NPD (past) Authorized official
• Kop Endodontics LLC

  • Endodontics
  • King of Prussia, PA
  • NPI 1295387124
  NPD

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245457944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 NIGHTHAWK CIR",
            "city": "AUDUBON",
            "state": "PA",
            "postal_code": "194031888",
            "telephone_number": "215-813-2686",
            "fax_number": "610-676-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD,",
            "address_2": "SUITE 303",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "194561218",
            "telephone_number": "610-676-9030",
            "fax_number": "610-676-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "MEETU",
        "middle_name": "RALLI",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS035529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Icenhower-Brennan, DMD
• Joseph Bryan Icenhower Jr., D.M.D.
• Joseph B. Icenhower, Je, DMD,PC (oaks family dental)
• Linda Joseph, PHARMD
• Jessica S. Kim, DDS
• Lisa Kuehn, PA-C
• Tiffini Lanza, LCSW, M.ED.
• Garo Megerian, M.D.
• Xianmin Meng, MD
• MFM Division/WHCG of PA

• Endodontics in Oaks, PA
• Providers in Oaks, PA by specialty
• Endodontics in Pennsylvania

• 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.