Individual provider Active NPI

Kanwal Maheshwari

  • Endodontics
  • Clarksville, TN
National Provider Identifier
1659018778
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
12326 Issued in TN
Practice address
2298 Trenton Rd Ste 101
Clarksville, TN 37040-2358
Phone
(270) 570-2943
NPI assigned
May 19, 2022
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240108003197 TN Order and Referring Only - DentistPractitioner - Dentist 2264883990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL15181MAMDDentist
12326TNMDDentist

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

Verify at the official NPI Registry.