Individual provider Active NPI

Manjari Manoharan Kulkarni, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pittsburgh, PA
National Provider Identifier
1255420246
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS031196L Issued in PA
Practice address
1720 Washington Rd Ste 203
Pittsburgh, PA 15241-1208
Phone
(412) 409-4444
Fax
(412) 774-1543
NPI assigned
Oct 11, 2006
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DIO2305701 NJ
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS031196L PA Primary

Addresses

Primary practice location

1720 Washington Rd Ste 203
Pittsburgh, PA 15241-1208

Mailing address

107 W 75TH St
#2B
New York, NY 10023-1816
Phone (412) 908-9036

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180102000023 PA Order and Referring Only - DentistPractitioner - Dentist 9234497900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DIO2305701NJMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
KSG Orthodontics Inc Orthodontics and Dentofacial Orthopedics CurrentSince Jul 25, 2021 Accepting new patients
Robert Shekitka DMD,P.a. Past Accepting new patients

Locations

1720 Washington Rd
Ste 203
Pittsburgh, PA 15241
Phone (412) 409-4444

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1255420246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 75TH ST",
            "address_2": "#2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100231816",
            "telephone_number": "412-908-9036",
            "fax_number": "212-362-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WASHINGTON RD STE 203",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152411208",
            "telephone_number": "412-409-4444",
            "fax_number": "412-774-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "MANJARI",
        "middle_name": "MANOHARAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DIO2305701",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS031196L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.