Organization Active NPI

Gail Ann Krishnan DDS Ms Dental Corp

  • Dentist
  • Brea, CA
National Provider Identifier
1063947232
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS65262 Issued in CA
Legal business name
GAIL ANN KRISHNAN DDS MS DENTAL CORP
Practice address
255 W Central Ave Ste 201
Brea, CA 92821-3373
Phone
(714) 990-0204
Fax
(714) 990-0204
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Gail Ann Krishnan, DDS, MSNPI 1861709412
Title
Dentist/President
Phone
(714) 990-0204

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DDS65262 CA Primary

Addresses

Primary practice location

255 W Central Ave Ste 201
Brea, CA 92821-3373

Mailing address

255 W Central Ave Ste 201
Brea, CA 92821-3373
Phone (714) 990-0204

National Provider Directory

National Provider Directory

Locations

255 W Central Ave
Ste 201
Brea, CA 92821
Phone (310) 291-4808

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": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1063947232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W CENTRAL AVE STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213373",
            "telephone_number": "714-990-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W CENTRAL AVE STE 201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213373",
            "telephone_number": "714-990-0204",
            "fax_number": "714-990-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL ANN KRISHNAN DDS MS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "KRISHNAN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "714-990-0204",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS65262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.