Individual provider Active NPI

Krupa S Parikh, DDS

  • Dentist
  • Havertown, PA
National Provider Identifier
1750806394
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS044945 Issued in PA
Practice address
1330 W Chester Pike
Havertown, PA 19083-3246
Phone
(630) 328-3544
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022411 MI
Dentist 122300000X DS044945 PA Primary

Addresses

Primary practice location

1330 W Chester Pike
Havertown, PA 19083-3246

Mailing address

271 Fairfield Cir W
Royersford, PA 19468-2859
Phone (630) 328-3544

Other practice location 1

21080 Allen Rd
Woodhaven, MI 48183-1602
Phone (734) 676-1656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20180206000810 MI Order and Referring Only - DentistPractitioner - Dentist 8921368218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901022411MIMDDentist
DS044945PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Keshavam Dental CurrentSince May 25, 2025 Accepting new patients
Jayna LLC Current Accepting new patients

Locations

1330 W Chester Pike
Havertown, PA 19083
Phone (610) 789-4040

Organizations & group practices 2

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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1750806394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FAIRFIELD CIR W",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194682859",
            "telephone_number": "630-328-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833246",
            "telephone_number": "630-328-3544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21080 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Woodhaven",
            "state": "MI",
            "postal_code": "481831602",
            "country_code": "US",
            "telephone_number": "734-676-1656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "KRUPA",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022411",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.