Natasha Kanchwala

Primary specialty

DentistTaxonomy code 122300000X

License

DN015229 Issued in GA

Practice address

4480 N Cooper Lake Rd SE Ste 210
Smyrna, GA 30082-4623

Phone

(770) 863-0005

NPI assigned

Jul 15, 2016

Last updated

Nov 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Teddy Dental Inc

  • Dental Clinic/Center
  • Smyrna, GA
  • NPI 1992542567
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1487007357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 N COOPER LAKE RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824622",
            "telephone_number": "770-863-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 N COOPER LAKE RD SE STE 210",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824623",
            "telephone_number": "770-863-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANCHWALA",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Jozefowicz, MS, LPC, NCC
• JPC1 Transport LLC
• Erin Justice, NCC
• K & Y Pharmacy, LLC
• Brooke L Kahler, NP
• Yaeram Nile Kang, CCC-SLP
• Arun Kumar Kantamneni, MD
• Chitra Jana Kanyadan, MD
• Ashish Kapila, DPM
• Karim Kara, M.D.

• Dentist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.