Individual provider Active NPI

Kristina Ghenta, D.M.D.

  • Dentist
  • Sacramento, CA
National Provider Identifier
1124806732
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
109394 Issued in CA
Practice address
992 Florin Rd
Sacramento, CA 95831-3515
Phone
(916) 221-9970
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 109394 CA Primary

Addresses

Primary practice location

992 Florin Rd
Sacramento, CA 95831-3515

Mailing address

992 Florin Rd
Sacramento, CA 95831-3515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240131002780 CA Order and Referring Only - DentistPractitioner - Dentist 7719330265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmad Mokbil DDS Inc Dentist CurrentSince Sep 24, 2023 Accepting new patients

Locations

992 Florin Rd
Sacramento, CA 95831
Phone (916) 221-9970

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1124806732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313515",
            "telephone_number": "916-221-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHENTA",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.