K3Ndental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

K3NDENTAL LLC

Doing business as

Apple Dental

Practice address

2622 Annapolis Rd Ste I
Severn, MD 21144-1626

Phone

(410) 551-7076

Fax

(410) 510-1010

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kinjal Nimish Shah, DDSNPI 1104003854

Title

Owner

Phone

(410) 551-7076

Specialties & licenses 1

Addresses

Other names 1

• Apple Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kinjal Nimish Shah, D.D.S.

  • General Practice Dentistry
  • Severn, MD
  • NPI 1104003854
  NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1942992193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2622 ANNAPOLIS RD STE I",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441626",
            "telephone_number": "410-551-7076",
            "fax_number": "410-510-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2622 ANNAPOLIS RD STE I",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441626",
            "telephone_number": "410-551-7076",
            "fax_number": "410-510-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K3NDENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KINJAL",
        "authorized_official_middle_name": "NIMISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-551-7076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruqayyah Jalloh, LGSW
• Garine Jeanphilippe
• Kimberly Little Johnson, LPTA
• Candace Jones, LCSW-C
• Tobias Edward Jones, CSA
• Jeffry Han Kang, PHARM.D.
• Kwame Imran Kanu
• Nolan Kauffman
• Stephanie Michele Kelly, LMSW
• Bianca Ketter

• General Practice Dentistry in Severn, MD
• Providers in Severn, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; 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.