Organization Active NPI

KS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lititz, PA
National Provider Identifier
1457084907
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
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

Updated by the provider on Jul 1, 2022

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

Authorized official

Name
Kanchi Bhavan Shah, DDSNPI 1275023962
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.