Organization Active NPI

Kanani Dental Corporation

  • Dental Clinic/Center
  • Palmdale, CA
National Provider Identifier
1063105237
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KANANI DENTAL CORPORATION
Practice address
450 W Palmdale Blvd Ste D
Palmdale, CA 93551-3104
Phone
(661) 265-7397
NPI assigned
Jun 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Dr. Kaveh Kanani, DDSNPI 1851453518
Title
Owner/Dentist
Phone
(310) 710-9067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

450 W Palmdale Blvd Ste D
Palmdale, CA 93551-3104

Mailing address

450 W Palmdale Blvd Ste D
Palmdale, CA 93551-3104
Phone (661) 265-7397

Other identifiers 2

IdentifierTypeStateIssuer
1851453518MedicaidCA
1023374410MedicaidCA

Other names 1

  • Absolute Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

450 W Palmdale Blvd
Ste D
Palmdale, CA 93551
Phone (661) 265-7397

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1063105237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513104",
            "telephone_number": "661-265-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513104",
            "telephone_number": "661-265-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANANI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "KANANI",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "310-710-9067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851453518",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023374410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Absolute Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.