Individual provider Active NPI

Rani Samyuktha Koganti Kaza, DDS

  • General Practice Dentistry
  • Aurora, CO
National Provider Identifier
1083844328
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
00203133 Issued in CO
Practice address
21699 E Quincy Ave Unit H
Aurora, CO 80015-2886
Phone
(720) 222-3132
Fax
(720) 330-9919
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401412579 VA
General Practice Dentistry 1223G0001X 00203133 CO Primary

Addresses

Primary practice location

21699 E Quincy Ave Unit H
Aurora, CO 80015-2886

Mailing address

21699 E Quincy Ave Unit H
Aurora, CO 80015-2886
Phone (720) 222-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20170104001734 VA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6709167828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00203133COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Rani Koganti Kaza DDS PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1083844328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21699 E QUINCY AVE UNIT H",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152886",
            "telephone_number": "720-222-3132",
            "fax_number": "720-330-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21699 E QUINCY AVE UNIT H",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152886",
            "telephone_number": "720-222-3132",
            "fax_number": "720-330-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGANTI KAZA",
        "first_name": "RANI",
        "middle_name": "SAMYUKTHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412579",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.