Swati M Kandalkar, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014239 Issued in GA

Practice address

13 Corporate Blvd NE Ste 120
Brookhaven, GA 30329-1905

Phone

(678) 836-2120

Fax

(404) 320-9552

NPI assigned

Feb 1, 2007

Last updated

Jan 8, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1508903048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 BRIARCLIFF GABLES CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292446",
            "telephone_number": "845-699-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CORPORATE BLVD NE STE 120",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303291905",
            "telephone_number": "678-836-2120",
            "fax_number": "404-320-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDALKAR",
        "first_name": "SWATI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21658",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Arthur Lloyd Jordan
• Davette Joyner, RBT
• Adriana Lucia Kadoori
• Keisuke Kagawa, ATC
• Anchal Praveen Kamat, BS
• L'Mika Kargbo, RBT
• Elizabeth Karr
• Cara Ashley Kenney
• Sara Ariadne Khan, RDN
• Glenna Kilgore, PMHNP, RN

• General Practice Dentistry in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.