Active NPI
Kanwal Maheshwari
- Endodontics
- Clarksville, TN
National Provider Identifier
1659018778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12326
- Practice address
- 2298 Trenton Rd Ste 101
Clarksville, TN 37040-2358 - Phone
- (270) 570-2943
- NPI assigned
- May 19, 2022
- Last updated
- Sep 16, 2026
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DL15181 | MA | |
| Endodontics | 1223E0200X | 12326 | TN | Primary |
Addresses
Primary practice location
2298 Trenton Rd Ste 101
Clarksville, TN 37040-2358
Mailing address
200 Captains Row Apt 307
Chelsea, MA 02150-4025
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kanwalrm@bu.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20240108003197 | TN | Order and Referring Only - Dentist | 2264883990 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL15181 | MA | MD | Dentist |
| 12326 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1659018778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CAPTAINS ROW APT 307",
"city": "CHELSEA",
"state": "MA",
"postal_code": "021504025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2298 TRENTON RD STE 101",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370402358",
"telephone_number": "270-570-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHESHWARI",
"first_name": "KANWAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL15181",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "12326",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kanwalrm@bu.edu",
"affiliation": "N",
"address_1": "635 Albany Street",
"address_2": "Endodontics Department",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "02118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.