Kajal Desai

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8117 Issued in NE

Practice address

5321 Center St
Omaha, NE 68106-2338

Phone

(402) 551-2238

NPI assigned

May 10, 2023

Last updated

Jun 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Dental Associates

  dba Rainbow Dental Center

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1073783445
  NPD (past)
• Summit Dental Health - Center LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1275941734
  NPD (past)

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1003506346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 FOXGLOVE CIR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685215610",
            "telephone_number": "402-570-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681062338",
            "telephone_number": "402-551-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KAJAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Ann Dervin
• Des Moines Regenerative Medicine PLLC (Renew Healthcare LLC)
• Valmont P Desa, MD, DDS
• Alka Desai
• Dhara Desai
• Ketav R Desai, M.D.
• Rini Ashok Desai, M.D.
• Destiny Desantiago
• Rachel Ann Desantiago, CNA
• Timothy John Desanto II, DMD

• General Practice Dentistry in Omaha, NE
• Providers in Omaha, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.