Active NPI
Archana N Kasi, DMD
- Dentist
- Philadelphia, PA
National Provider Identifier
1417330309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS040293
- Practice address
- 1601 Walnut St
Suite 402
Philadelphia, PA 19102-2944 - Phone
- (215) 972-0181
- NPI assigned
- Jul 9, 2015
- Last updated
- Nov 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | DS040293 | PA | Primary |
Addresses
Primary practice location
1601 Walnut St
Suite 402
Philadelphia, PA 19102-2944
Mailing address
1601 Walnut St
Suite 402
Philadelphia, PA 19102-2944
Phone (215) 972-0181
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS040293 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ken Lin DMD PC | Past | Accepting new patients | |
| Tec Dental Group, LLC | Past | Accepting new patients |
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.
-
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- Philadelphia, PA
- NPI 1710330972
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- Endodontics
- Philadelphia, PA
- NPI 1790551398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448668800000",
"number": "1417330309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 WALNUT ST",
"address_2": "SUITE 402",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022944",
"telephone_number": "215-972-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 WALNUT ST",
"address_2": "SUITE 402",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191022944",
"telephone_number": "215-972-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASI",
"first_name": "ARCHANA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-09",
"last_updated": "2015-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS040293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.