Individual provider Active NPI

Ankit Vinod Karsalia, DMD

  • Dentist
  • Blue Bell, PA
National Provider Identifier
1588080105
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS039557 Issued in PA
Practice address
1115 Dekalb Pike
Blue Bell, PA 19422-1813
Phone
(610) 278-0420
Fax
(610) 278-6938
NPI assigned
Mar 6, 2014
Last updated
Mar 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS039557 PA Primary

Addresses

Primary practice location

1115 Dekalb Pike
Blue Bell, PA 19422-1813

Mailing address

1115 Dekalb Pike
Blue Bell, PA 19422-1813
Phone (610) 278-0420

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS039557PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Bell Dental Assoc. PC Dentist Past Accepting new patients

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": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1588080105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221813",
            "telephone_number": "610-278-0420",
            "fax_number": "610-278-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 DEKALB PIKE",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221813",
            "telephone_number": "610-278-0420",
            "fax_number": "610-278-6938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARSALIA",
        "first_name": "ANKIT",
        "middle_name": "VINOD",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.