Saraswati Koirala, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.031867 Issued in IL

Practice address

1227 S Harlem Ave Apt414
Berwyn, IL 60402

Phone

(571) 296-4809

NPI assigned

Nov 21, 2018

Sex

Female

Sole proprietor

No

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 IL

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

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1245709047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 S HARLEM AVE APT 414",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604021049",
            "telephone_number": "571-296-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 S HARLEM AVE APT414",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "571-296-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOIRALA",
        "first_name": "SARASWATI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan C. Klyber, DDS
• Kimberly Patrice Knowles
• Jacob Knupp, MD
• Robert Paul Kobleski, PHARMD.
• Sheena Reddy Kodavaluru, M.D.
• Aleksandr Komarov, DPM
• Shreya Kota, DMD
• Erik Kozina, MD, MS
• Danielle Kraessig, CNM
• John Conner Kraynik

• Dentist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.