Kenta Christopher Kawasaki, DMD is a
Student In An Organized Health Care Education/training Program based in Boston, Massachusetts. Kenta Christopher Kawasaki is licensed to practice in * (Not Available) (license number ) and his current practice location is
1 Kneeland St, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 636-6828.
NPI number for Kenta Christopher Kawasaki is 1114730793 and his current mailing address is 37 Reservoir Ave Fl 2, Jersey City, New Jersey. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114730793.
Healthcare Provider's Profile
| Full Name | Kenta Christopher Kawasaki |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Kneeland St, Boston, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114730793
- Provider Enumeration Date: 01/28/2025
- Last Update Date: 09/14/2026
Medical Identifiers
Medical identifiers for Kenta Christopher Kawasaki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1114730793 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 22DI03169700 (New Jersey) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenta Christopher Kawasaki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kenta Christopher Kawasaki, DMD 37 Reservoir Ave Fl 2, Jersey City, NJ 07307-1822 Ph: (978) 399-4875 | Kenta Christopher Kawasaki, DMD 1 Kneeland St, Boston, MA 02111-1527 Ph: (617) 636-6828 |
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