Zacharia Kashlan, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN015108 Issued in GA

Practice address

385 Saddle Creek Dr
Roswell, GA 30076-1083

Phone

(678) 982-8336

NPI assigned

Mar 21, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1669834594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 SADDLE CREEK DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761083",
            "telephone_number": "678-982-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 SADDLE CREEK DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761083",
            "telephone_number": "678-982-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHLAN",
        "first_name": "ZACHARIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-21",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN015108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmin Khadija Karim, MD
• Lynn Mary Karjala, PH.D.
• Karma Orthodontics (iclear orthodontics)
• Christopher Armand Karow, MM-BC, NMT
• Munir Kashlan
• Vahan S Kassabian, M.D.
• Mohit Kataria, DDS
• Nalini Kataria, DMD
• Alexandra Katsorelos, OT
• Richard Kaufman, D.P.M.

• Periodontics in Roswell, GA
• Providers in Roswell, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.

Verify at the official NPI Registry.