Individual provider Active NPI

Troy Barish Kemahli, DDS

  • Dentist
  • Ruskin, FL
National Provider Identifier
1508310517
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22254 Issued in FL
Practice address
3848 Sun City Center Blvd Ste 102
Ruskin, FL 33573-6843
Phone
(813) 489-9419
NPI assigned
Aug 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22254FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kemahli, LLC CurrentSince Aug 2, 2020 Accepting new patients

Locations

15710 NE 24th St
Ste B
Bellevue, WA 98008
Phone (425) 644-6802

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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.