Victor Kvikstad, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

21470 Issued in CA

Practice address

3609 Jamison Way
Castro Valley, CA 94546-4303

Phone

(510) 886-3888

Fax

(510) 881-0600

NPI assigned

Jan 29, 2014

Sex

Male

Sole proprietor

Yes

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 CA

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

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.

• Matthew Yuen DDS

  • Dental Clinic/Center
  • Castro Valley, CA
  • NPI 1508584657
  NPD (past)

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1033532957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 MORTON PL",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945525284",
            "telephone_number": "510-517-9335",
            "fax_number": "510-881-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 JAMISON WAY",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464303",
            "telephone_number": "510-886-3888",
            "fax_number": "510-881-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVIKSTAD",
        "first_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "21470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liang Yu Kung
• Ayumi Kurtz, MFT
• Benedikt Kurz, M.D.
• Heather Michell Kurz
• Catherine Kvikstad, MFT
• Joyce Ho-Huen Kwan
• Jaremy Lowe Kwock, PA-C, MSPAS, MPH
• Stephen Francis La Due, DDS
• Ngoc My La, PHARMD
• Faruqa Shariff Ladha, M.D.

• Dentist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.