Active NPI
Malika Kohli, DMD, MS,CAGS
- Periodontics
- Arlington, VA
National Provider Identifier
1588815005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 0401413056
- Practice address
- 2407 Columbia Pike
#280
Arlington, VA 22204-4469 - Phone
- (571) 312-4111
- Fax
- (571) 312-4133
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401413056 | VA | |
| Periodontics | 1223P0300X | 0401413056 | MA | Primary |
Addresses
Primary practice location
2407 Columbia Pike
#280
Arlington, VA 22204-4469
Mailing address
2407 Columbia Pike
#280
Arlington, VA 22204-4469
Phone (571) 312-4111
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413056 | VA | MD | General Practice Dentistry |
| 0401413056 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1588815005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2407 COLUMBIA PIKE",
"address_2": "#280",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222044469",
"telephone_number": "571-312-4111",
"fax_number": "571-312-4133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2407 COLUMBIA PIKE",
"address_2": "#280",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222044469",
"telephone_number": "571-312-4111",
"fax_number": "571-312-4133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLI",
"first_name": "MALIKA",
"name_prefix": "Dr.",
"credential": "DMD, MS,CAGS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401413056",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "0401413056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.