Active NPI
Diksha Katwal, DDS, MSD
- Periodontics
- Louisville, KY
National Provider Identifier
1588099683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 9387
- Practice address
- 501 S Preston St
Louisville, KY 40202-1701 - Phone
- (502) 852-5096
- NPI assigned
- Sep 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 9387 | KY | Primary |
Addresses
Primary practice location
501 S Preston St
Louisville, KY 40202-1701
Mailing address
2400 Mellwood Ave
Apt 401
Louisville, KY 40206-1061
Phone (317) 457-8381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150304001248 | KY | Order and Referring Only - Oral Surgery | 1951627264 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378598400000",
"number": "1588099683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MELLWOOD AVE",
"address_2": "APT 401",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402061061",
"telephone_number": "317-457-8381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S PRESTON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021701",
"telephone_number": "502-852-5096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATWAL",
"first_name": "DIKSHA",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-08",
"last_updated": "2013-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "KY",
"license": "9387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2013; 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.