Individual provider Active NPI

Kiruthika Alagirisamy, DMD

  • Dentist
  • Lower Burrell, PA
National Provider Identifier
1851530737
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037766 Issued in PA
Practice address
129 Hillcrest Shopping Ctr
Lower Burrell, PA 15068-3504
Phone
(724) 337-7800
NPI assigned
Feb 17, 2009
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037766 PA Primary

Addresses

Primary practice location

129 Hillcrest Shopping Ctr
Lower Burrell, PA 15068-3504

Mailing address

4002 Claridon Dr
Mars, PA 16046-7164
Phone (412) 736-2277

Other identifiers 1

IdentifierTypeStateIssuer
1022979230003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150519002122 PA Order and Referring Only - DentistPractitioner - Dentist 6901126739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1851530737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 CLARIDON DR",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160467164",
            "telephone_number": "412-736-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 HILLCREST SHOPPING CTR",
            "city": "LOWER BURRELL",
            "state": "PA",
            "postal_code": "150683504",
            "telephone_number": "724-337-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAGIRISAMY",
        "first_name": "KIRUTHIKA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-17",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022979230003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Burrell, PA

Sources for this page

Verify at the official NPI Registry.