Tejal Ashok Kakade, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014147 Issued in GA

Practice address

406 Dixie St
Carrollton, GA 30117-3922

Phone

(678) 234-9466

NPI assigned

Aug 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

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.

• Tejal a Kakade, DMD

  • Dental Clinic/Center
  • Carrollton, GA
  • NPI 1780563619
  NPD

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1891000402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W LAKE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178231",
            "telephone_number": "678-234-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173922",
            "telephone_number": "678-234-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKADE",
        "first_name": "TEJAL",
        "middle_name": "ASHOK",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leigh Hamm Jordan, PHARMD
• Melanie Jordan
• Joseph S. Palin, M.D.
• Stephanie McIntosh Junior, NP
• Stephen Housman Kahler, M.D.
• Kriss Anyiam Kalu
• Sanjeev Kapuria, MD
• Karee, Inc.
• Scott Karlen, LPC
• Hayley Elizabeth Kast, LPC

• General Practice Dentistry in Carrollton, GA
• Providers in Carrollton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.