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KATHLEEN PTASHNIK DDS
NPI 1104753383
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 04, 2026PECOS Enrolled
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(313) 494-6873(313) 494-6834 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 20, 2026, May 4, 2026 (3 updates tracked since 2026).

About Kathleen Ptashnik Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN PTASHNIK DDS (NPI 1104753383) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (2951001028) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104753383
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATHLEEN PTASHNIKCredential: DDS
Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576
Mailing Address2700 Martin Luther King Jr BlvdDetroit, MI 48208-2576 · (313) 494-6873
Phone(313) 494-6873
Fax(313) 494-6834
Sole ProprietorYes
Enumeration DateMay 4, 2026
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1104753383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 2951001028
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentistTaxonomy 122300000X · License 2951001028 (MI)
2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Ptashnik Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SWATI DINESH CHITRE DDS,MSD
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6814
MINH-PHUONG ISABELLE KIEU
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6629
KARISHMA M CHOKSI B.D.S
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
DR. MIKHAIL ARKHIPOV DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (347) 782-6999
NASER MOHAMMADZADEH REZAEI
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
HANA GADALLA
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6660
DR. LUIZ CARLOS MAGNO FILHO DDS, MSC
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 993-1000
DR. SPENCER SCOTT GILLESPIE DMD
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Ptashnik's NPI number?

The NPI number for Kathleen Ptashnik is 1104753383. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Kathleen Ptashnik located?

Kathleen Ptashnik practices at 2700 Martin Luther King Jr Blvd, Detroit, MI 48208. The listed phone number is (313) 494-6873.

What is Kathleen Ptashnik's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathleen Ptashnik enrolled in Medicare?

Yes. Kathleen Ptashnik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Ptashnik was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.