Active NPI
Troy Barish Kemahli, DDS
- Dentist
- Ruskin, FL
National Provider Identifier
1508310517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22254
- Practice address
- 3848 Sun City Center Blvd Ste 102
Ruskin, FL 33573-6843 - Phone
- (813) 489-9419
- NPI assigned
- Aug 8, 2016
- Last updated
- Aug 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22254 | FL | Primary |
Addresses
Primary practice location
3848 Sun City Center Blvd Ste 102
Ruskin, FL 33573-6843
Mailing address
27340 Driver LN
Englewood, FL 34223-1924
Phone (425) 205-8478
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22254 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kemahli, LLC | Current | Accepting new patients |
Locations
15710 NE 24th St
Ste B
Bellevue, WA 98008
Phone (425) 643-7100
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": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1508310517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27340 DRIVER LN",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342231924",
"telephone_number": "425-205-8478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 SUN CITY CENTER BLVD STE 102",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335736843",
"telephone_number": "813-489-9419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMAHLI",
"first_name": "TROY",
"middle_name": "BARISH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "22254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruskin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.