ANDREW JAMES KAWASAKI DDS
NPI 1679167092
Dentist in Memphis, TN

Q: 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.

Q: What is Andrew Kawasaki's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrew Kawasaki was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

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: November 01, 2026.

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

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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

Phone(901) 842-3171

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

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Other Identifiers 1

Other11591TN · Dental License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Kawasaki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christ Community Health Services Inc

Same address

Federally Qualified Health Center (FQHC)

2953 BROAD AVE
Memphis, TN 38112

Reassigned Medicare billing, Tennessee enrollment
101 clinicians in this Medicare group

NPI 1609030832 (901) 271-6050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 18

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

DR. YOUSEF ODEH JEFFERSON DDS

Dentist