Active NPI
Sakthi Tiruchirapalli Kesavan, DDS
- Dentist
- Erie, PA
National Provider Identifier
1306932496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037513
- Practice address
- 2922 State St
Erie, PA 16508-1832 - Phone
- (814) 454-4530
- Fax
- (814) 456-2375
- NPI assigned
- Oct 5, 2006
- Last updated
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037513 | PA | Primary |
Addresses
Primary practice location
2922 State St
Erie, PA 16508-1832
Mailing address
PO Box 369
Erie, PA 16512-0369
Phone (814) 454-4530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021959410001 | Medicaid | PA |
Other names 1
- Sakthi M Tiruchirapalli-Kesavan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS037513 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1306932496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "ERIE",
"state": "PA",
"postal_code": "165120369",
"telephone_number": "814-454-4530",
"fax_number": "814-456-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165081832",
"telephone_number": "814-454-4530",
"fax_number": "814-456-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESAVAN",
"first_name": "SAKTHI",
"middle_name": "TIRUCHIRAPALLI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021959410001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAKTHI",
"last_name": "TIRUCHIRAPALLI-KESAVAN",
"middle_name": "M",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Erie, PA
- Lindsey Ann Kerecman, DPT
- Thomas Michael Kern, MS,CAC,LPC
- Linda L Kerner, HIS
- Stephanie Ann Kerner, MS-SLP-CCC
- Nathan Stuart Kerr, APRN
- Kessler Counseling Services, LLC
- Brady James Kesterholt, PA-C
- Eric Tyler Ketchel
- Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
- Keystone Rehabilitation Systems, Inc. (NovaCare Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.