Active NPI
Christopher David Kanas, D.D.S.
- Pediatric Dentistry
- Folsom, CA
National Provider Identifier
1144437948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 45274
- Practice address
- 1568 Creekside Dr Ste 201
Folsom, CA 95630-3449 - Phone
- (916) 984-0304
- Fax
- (916) 983-9012
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 45274 | CA | Primary |
Addresses
Primary practice location
1568 Creekside Dr Ste 201
Folsom, CA 95630-3449
Mailing address
1235 Pinto CT
Auburn, CA 95603-5861
Phone (530) 888-0482
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 |
|---|---|---|---|
| 45274 | CA | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.Y. Jang DDS Corporatiom | Pediatric Dentistry | Past | Accepting new patients |
| S.Y. Jang DDS Corporatiom | Pediatric Dentistry | Past | Accepting new patients |
| Tavallaei, D.M.D., Corporation | Pediatric Dentistry | Past | Accepting new patients |
| Tavallaei, D.M.D., Corporation | Pediatric Dentistry | Past | Accepting new patients |
| S.Y. Jang DDS Corporatiom | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144437948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 PINTO CT",
"city": "AUBURN",
"state": "CA",
"postal_code": "956035861",
"telephone_number": "530-888-0482",
"fax_number": "530-888-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1568 CREEKSIDE DR STE 201",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303449",
"telephone_number": "916-984-0304",
"fax_number": "916-983-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAS",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "45274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
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.