Active NPI
Kanani Dental Corporation
- Dental Clinic/Center
- Palmdale, CA
National Provider Identifier
1063105237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kaveh Kanani, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851453518 | Medicaid | CA | |
| 1023374410 | Medicaid | CA |
Other names 1
- Absolute Dental Care
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Tarzana, CA
- NPI 1851453518
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.