Individual provider Active NPI

Ashalatha Kancharla, DDS

  • Dentist
  • Philadelphia, PA
National Provider Identifier
1437463684
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS038394 Issued in PA
Practice address
6001 Chester Ave
Philadelphia, PA 19142-1410
Phone
(215) 724-6666
NPI assigned
Jul 29, 2010
Last updated
Aug 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS038394 PA Primary

Addresses

Primary practice location

6001 Chester Ave
Philadelphia, PA 19142-1410

Mailing address

1206 Porter St
Chester Springs, PA 19425-3813
Phone (484) 366-3775

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

LicenseStateTypeSpecialty
DS038394PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenmoore Family Dentistry Dentist Current Accepting new patients
Bethelview Family Dentistry LLC Current Accepting new patients
Barry Sockel, D.D.S., P.C. Dentist Past Accepting new patients
Complete Care Family Dentistry, LLC Dentist Past Accepting new patients

Organizations & group practices 4

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1437463684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 PORTER ST",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194253813",
            "telephone_number": "484-366-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 CHESTER AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191421410",
            "telephone_number": "215-724-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCHARLA",
        "first_name": "ASHALATHA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038394",
            "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 Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.