Individual provider Active NPI

Elena Kachur, D.M.D.

  • General Practice Dentistry
  • Plymouth Meeting, PA
National Provider Identifier
1841343183
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
030600 Issued in PA
Practice address
1000 Germantown Pike Ste F4
Plymouth Greene Office Campus
Plymouth Meeting, PA 19462-2486
Phone
(610) 278-6500
Fax
(610) 278-6501
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 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 030600 PA Primary

Addresses

Primary practice location

1000 Germantown Pike Ste F4
Plymouth Greene Office Campus
Plymouth Meeting, PA 19462-2486

Mailing address

1000 Germantown Pike Ste F4
Plymouth Greene Office Campus
Plymouth Meeting, PA 19462-2486
Phone (610) 278-6500

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
030600PAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1841343183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE F4",
            "address_2": "PLYMOUTH GREENE OFFICE CAMPUS",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622486",
            "telephone_number": "610-278-6500",
            "fax_number": "610-278-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GERMANTOWN PIKE STE F4",
            "address_2": "PLYMOUTH GREENE OFFICE CAMPUS",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194622486",
            "telephone_number": "610-278-6500",
            "fax_number": "610-278-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHUR",
        "first_name": "ELENA",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "030600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

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