Individual provider Active NPI

Kshitija Mohan Natu

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1639096746
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2026030605 Issued in MO
Practice address
3949 Lindell Blvd Apt 3025
Saint Louis, MO 63108-3280
Phone
(424) 407-5643
NPI assigned
Jun 30, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2026030605 MO Primary

Addresses

Primary practice location

3949 Lindell Blvd Apt 3025
Saint Louis, MO 63108-3280

Mailing address

3949 Lindell Blvd Apt 4036B
Saint Louis, MO 63108-3276
Phone (424) 407-5643

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

NPI Registry JSON

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1639096746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 LINDELL BLVD APT 4036B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083276",
            "telephone_number": "424-407-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 LINDELL BLVD APT 3025",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083280",
            "telephone_number": "424-407-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATU",
        "first_name": "KSHITIJA",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2026030605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.