Active NPI
KS PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lititz, PA
National Provider Identifier
1457084907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- KS PC
- Practice address
- 1555 Highlands Dr Ste 190
Lititz, PA 17543-2800 - Phone
- (717) 303-3051
- NPI assigned
- Jul 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kanchi Bhavan Shah, DDS
- Title
- Orthodontist
- Phone
- (440) 864-1786
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
1555 Highlands Dr Ste 190
Lititz, PA 17543-2800
Mailing address
981 King Way
Breinigsville, PA 18031-1483
Phone (440) 864-1786
Other practice location 1
1901 Union Blvd
Allentown, PA 18109-1629
Phone (610) 437-5353
Other practice location 2
60 W Walnut St
Lancaster, PA 17603-3015
Phone (717) 394-4466
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Wyomissing, PA
- NPI 1275023962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656633600000",
"number": "1457084907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 KING WAY",
"city": "BREINIGSVILLE",
"state": "PA",
"postal_code": "180311483",
"telephone_number": "440-864-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 HIGHLANDS DR STE 190",
"city": "LITITZ",
"state": "PA",
"postal_code": "175432800",
"telephone_number": "717-303-3051"
}
],
"practiceLocations": [
{
"address_1": "1901 Union Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181091629",
"country_code": "US",
"telephone_number": "610-437-5353",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 W Walnut St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176033015",
"country_code": "US",
"telephone_number": "717-394-4466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KS PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "KANCHI",
"authorized_official_middle_name": "BHAVAN",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "440-864-1786",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lititz, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.