Active NPI
Richard Alan Kava, DDS
- General Practice Dentistry
- Sioux City, IA
National Provider Identifier
1073523270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7432
- Practice address
- 2930 Hamilton Blvd Uppr F
Suite 101
Sioux City, IA 51104-2551 - Phone
- (712) 258-6169
- Fax
- (712) 258-7053
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7432 | IA | Primary |
Addresses
Primary practice location
2930 Hamilton Blvd Uppr F
Suite 101
Sioux City, IA 51104-2551
Mailing address
2930 Hamilton Blvd Uppr F
Suite 101
Sioux City, IA 51104-2551
Phone (712) 258-6169
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42146860400 | Medicaid | NE | |
| 07432 | Medicaid | SD | |
| 29401 | Other | WELLMARK | |
| 0061713 | Medicaid | IA | |
| 837920 | Other | GOVERNMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7432 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073523270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 HAMILTON BLVD UPPR F",
"address_2": "SUITE 101",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511042551",
"telephone_number": "712-258-6169",
"fax_number": "712-258-7053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 HAMILTON BLVD UPPR F",
"address_2": "SUITE 101",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511042551",
"telephone_number": "712-258-6169",
"fax_number": "712-258-7053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVA",
"first_name": "RICHARD",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "7432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42146860400",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07432",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "29401",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061713",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOVERNMENT",
"identifier": "837920",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.