Individual provider Active NPI

Kate Kavash

  • Dental Hygienist
  • Concord, NH
National Provider Identifier
1851849780
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
02015 Issued in NH
Practice address
153 Manchester St
Concord, NH 03301-5142
Phone
(603) 224-9474
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 02015 NH Primary

Addresses

Primary practice location

153 Manchester St
Concord, NH 03301-5142

Mailing address

153 Manchester St
Concord, NH 03301-5142
Phone (603) 224-9474

Other names 1

  • Mrs. Kate Kavash Russo Professional name

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
02015NHMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Periodontics and Implants PLLC PastSince Apr 1, 2021 Accepting new patients
Capital Vision Center PC PastSince Apr 1, 2007 Accepting new patients

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1851849780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015142",
            "telephone_number": "603-224-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 MANCHESTER ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015142",
            "telephone_number": "603-224-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVASH",
        "first_name": "KATE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NH",
            "license": "02015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "RUSSO",
            "middle_name": "KAVASH",
            "prefix": "MRS.",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.