Nalin Kothari, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14941 Issued in MI

Practice address

15601 Grand River Ave
Detroit, MI 48227-2281

Phone

(313) 272-3330

Fax

(313) 272-3396

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Diamond Dental Centers

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1659469898
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187481600000",
    "number": "1811946155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15601 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272281",
            "telephone_number": "313-272-3330",
            "fax_number": "313-272-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15601 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482272281",
            "telephone_number": "313-272-3330",
            "fax_number": "313-272-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "NALIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL DENTAL INSURANCES.",
            "identifier": "1811946155",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811946155",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sujatha Kotamraju, M.D.
• Shagane Nicole Kotcharian, MD
• Jennifer Rae Kotcher
• Bharat Kotha
• Mansi Kothari
• Rebecca Ann Kotowski
• Andrew Harry Kotsis, D.O.
• Anupama Reddy Kottam, M.D.
• Sandeep Simon Kottoor
• Katherine Kotz, CPNP

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2007; 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.