Individual provider Active NPI

Kirti Pravin Lokhande, DMD

  • Dentist
  • Clarksville, TN
National Provider Identifier
1659713154
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9679 Issued in TN
Practice address
330 Pageant LN
Clarksville, TN 37040-3854
Phone
(931) 648-5747
NPI assigned
Jul 24, 2013
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9679 TN Primary

Addresses

Primary practice location

330 Pageant LN
Clarksville, TN 37040-3854

Mailing address

330 Pageant LN
Clarksville, TN 37040-3854
Phone (931) 648-5747

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
I20240627001698 TN Practitioner - Dentist 2365986650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9679TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Medical Center, Inc. CurrentSince May 1, 2024 Accepting new patients
Perry County Medical Center Inc Current Accepting new patients
Perry County Medical Center, Inc. CurrentSince May 1, 2024 Accepting new patients

Locations

115 E Brooklyn St
Linden, TN 37096
Phone (615) 589-2104

7723 Clearview Church Ln
Ste 200
Lyles, TN 37098
Phone (931) 670-8318

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1954/brand/1/csg/41/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kirti.lokhande.p1@direct.trchg.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1659713154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 PAGEANT LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403854",
            "telephone_number": "931-648-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PAGEANT LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370403854",
            "telephone_number": "931-648-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKHANDE",
        "first_name": "KIRTI",
        "middle_name": "PRAVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.