Individual provider Active NPI

Kalaivani K Kulandaivelu, D.D.S

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1023259694
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44721 Issued in CA
Practice address
990 W Fremont Ave
Suite Y
Sunnyvale, CA 94087-3021
Phone
(408) 735-7161
Fax
(408) 735-7173
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44721 CA Primary

Addresses

Primary practice location

990 W Fremont Ave
Suite Y
Sunnyvale, CA 94087-3021

Mailing address

990 W Fremont Ave
Suite Y
Sunnyvale, CA 94087-3021
Phone (408) 735-7161

Other names 1

  • Dr. Kalai Kulandaivelu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44721CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1023259694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE",
            "address_2": "SUITE Y",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873021",
            "telephone_number": "408-735-7161",
            "fax_number": "408-735-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W FREMONT AVE",
            "address_2": "SUITE Y",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873021",
            "telephone_number": "408-735-7161",
            "fax_number": "408-735-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULANDAIVELU",
        "first_name": "KALAIVANI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALAI",
            "last_name": "KULANDAIVELU",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.