Kohli Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KOHLI DENTAL CORP

Practice address

5910 Thornton Ave Ste D
Newark, CA 94560-3800

Phone

(510) 792-9885

NPI assigned

Jul 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gagandeep Singh Kohli

Title

Dentist

Phone

(510) 792-9885

Specialties & licenses 3

Addresses

Other names 1

• NEWARK FAMILY DENTAL Doing business as

Locations

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1023561602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 THORNTON AVE STE D",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603800",
            "telephone_number": "510-792-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 THORNTON AVE STE D",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603800",
            "telephone_number": "510-792-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLI DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-792-9885",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWARK FAMILY DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Kim
• Tanya Kim
• Sarah Ann King
• Nicholas M Knight
• Christine F Ko, O.D.
• Julia Angela Kolesnikov
• Samantha Kopenski
• Alexander Paily Koshy
• Kiersten Jade Kovach
• Mariza Krasno, MT

• General Practice Dentistry in Newark, CA
• Providers in Newark, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.