Individual provider Active NPI

Chetana D Karanth, D.D.S.

  • General Practice Dentistry
  • Farmington Hills, MI
National Provider Identifier
1730159633
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017978 Issued in MI
Practice address
33566 W 8 Mile Rd Ste B
Farmington Hills, MI 48335-5271
Phone
(248) 476-4416
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901017978 MI Primary

Addresses

Primary practice location

33566 W 8 Mile Rd Ste B
Farmington Hills, MI 48335-5271

Mailing address

50364 Livingston Dr
Northville, MI 48168-6802
Phone (248) 476-4416

Other identifiers 1

IdentifierTypeStateIssuer
4818464MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
2901017978MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl Dental P.C. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1730159633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50364 LIVINGSTON DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686802",
            "telephone_number": "248-476-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33566 W 8 MILE RD STE B",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483355271",
            "telephone_number": "248-476-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARANTH",
        "first_name": "CHETANA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4818464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.