ANDREW JAMES KAWASAKI DDS
NPI 1679167092
Dentist in Memphis, TN

Active since February 25, 2021PECOS Enrolled
2953 BROAD AVE, MEMPHIS, TN 38112(901) 842-3171 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 29, 2022, Jun 29, 2021, Jun 7, 2021 and 1 more (4 updates tracked since 2021).

About Andrew James Kawasaki Dds NPPES

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

ANDREW JAMES KAWASAKI DDS (NPI 1679167092) is an individual dentist in Memphis, Tennessee, licensed in Tennessee (11591) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679167092
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameANDREW JAMES KAWASAKICredential: DDS
Location Address2953 BROAD AVEMemphis, TN 38112-2957
Mailing Address1166 Vaughn RdMemphis, TN 38122-1612 · (701) 490-2137
Sole ProprietorYes
Enumeration DateFebruary 25, 2021
Last NPPES UpdateJuly 29, 20224 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
NPI 1679167092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TN · 11591
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2953 BROAD AVE, Memphis, TN 38112

Other Identifiers 1

Other11591TN · Dental License Number

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Andrew James Kawasaki 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

Dentist (General Practice)
2953 BROAD AVE, CHRIST COMMUNITY HEALTH SERVICES INC
MEMPHIS, TN 38112
Dentist (General Practice)
2953 BROAD AVE
MEMPHIS, TN 38112
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Dentist
2953 BROAD AVE
MEMPHIS, TN 38112
Dental Hygienist
2953 BROAD AVE
MEMPHIS, TN 38112

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 Andrew Kawasaki's NPI number?

The NPI number for Andrew Kawasaki is 1679167092. It was assigned to this individual provider in the NPPES registry on February 25, 2021.

Where is Andrew Kawasaki located?

Andrew Kawasaki practices at 2953 Broad Ave, Memphis, TN 38112. The listed phone number is (901) 842-3171.

What is Andrew Kawasaki's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Andrew Kawasaki enrolled in Medicare?

Yes. Andrew Kawasaki is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Kawasaki accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 11 other insurers list Andrew Kawasaki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Kawasaki was last updated on July 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.