Rishi A Kothari, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

055809 Issued in NY

Practice address

245 N Broadway
Suite 104
Sleepy Hollow, NY 10591-2670

Phone

(914) 332-0900

Fax

(914) 214-5308

NPI assigned

Nov 10, 2011

Last updated

Apr 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1528345188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N BROADWAY",
            "address_2": "SUITE 104",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912670",
            "telephone_number": "914-332-0900",
            "fax_number": "914-214-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N BROADWAY",
            "address_2": "SUITE 104",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105912670",
            "telephone_number": "914-332-0900",
            "fax_number": "914-214-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "RISHI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "055809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03395237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucia Khoder
• Yura Kim, DO
• Sonia Kohli, MD
• Pawel Kohutnicki, MD
• Elizabeth J Kolb, LCSW
• Margaret Kraft
• Anna Esther Krawczyk, LMHC-LP
• Julia Elizabeth Krim, DO
• Delia P Kristol
• Steven A Kroop, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Sleepy Hollow, NY
• Providers in Sleepy Hollow, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.