K&K Endodontics LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS035529 Issued in PA

Legal business name

K&K ENDODONTICS LLC

Doing business as

Providence Endodontics

Practice address

1831 Swamp Pike Ste 101
Gilbertsville, PA 19525-8927

Phone

(484) 949-8917

Fax

(484) 949-8937

NPI assigned

Nov 19, 2015

Last updated

Nov 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Meetu Kohli

Title

Owner Partner

Phone

(484) 949-8917

Specialties & licenses 1

Addresses

Other names 1

• Providence Endodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nora Landells Paisner, DMD

  • Endodontics
  • Gilbertsville, PA
  • NPI 1346941515
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1780058388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 SWAMP PIKE STE 101",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258927",
            "telephone_number": "484-949-8917",
            "fax_number": "484-949-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 SWAMP PIKE STE 101",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258927",
            "telephone_number": "484-949-8917",
            "fax_number": "484-949-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&K ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "MEETU",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "484-949-8917",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS035529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Shearer Harmon, AT,C
• Gary Dean Harner, PT
• Troy Alexander Heuer Sr., DMD
• Kritika Iyer, MD
• Shirley Kay Johnson, LICENSED GRIEF COUNS
• Samantha Ann Kane, FNP
• Christi N Kelly, BS
• Lauren Michele Kelly, MPT
• Danielle King
• Rashida Rajpar Larkin, MA ED

• Dental Clinic/Center in Gilbertsville, PA
• Providers in Gilbertsville, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.