Individual provider Active NPI

Madhuri Kavi, DMD

  • Dentist
  • Lancaster, MA
National Provider Identifier
1467645796
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19090 Issued in MA
Practice address
136 High Street Ext
Suite 500 and 700
Lancaster, MA 01523-2056
Phone
(978) 365-9497
Fax
(978) 365-3542
NPI assigned
Aug 21, 2007
Last updated
Jul 30, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19090 MA Primary

Addresses

Primary practice location

136 High Street Ext
Suite 500 and 700
Lancaster, MA 01523-2056

Mailing address

136 High Street Ext
Lancaster, MA 01523-2056
Phone (978) 365-9497

Other identifiers 1

IdentifierTypeStateIssuer
1154684447OtherNPI TYPE 2

Other names 1

  • Miss Madhuri Bhavikatti Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150309000261 MA Order and Referring Only - DentistPractitioner - Dentist 4183940257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1467645796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 HIGH STREET EXT",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015232056",
            "telephone_number": "978-365-9497",
            "fax_number": "978-365-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HIGH STREET EXT",
            "address_2": "SUITE 500 AND 700",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015232056",
            "telephone_number": "978-365-9497",
            "fax_number": "978-365-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVI",
        "first_name": "MADHURI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1154684447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHURI",
            "last_name": "BHAVIKATTI",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.