Gunjan Prasad Kella, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100047 Issued in NY

Practice address

10811 Washington Blvd Ste 302
Culver City, CA 90232-3660

Phone

(310) 839-8033

NPI assigned

Jan 30, 2009

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kella DDS Corp

  dba Sayva Dental

  • Dental Clinic/Center
  • Culver City, CA
  • NPI 1871173278
  NPD Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1154569077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD STE 302",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323660",
            "telephone_number": "310-839-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD STE 302",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323660",
            "telephone_number": "310-839-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLA",
        "first_name": "GUNJAN",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100047",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "100047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kazaryan, NONE
• Shawn Patrick Keating
• Trent Keatley
• Edward John Keaveny, LMFT
• Kella DDS Corp (Sayva Dental)
• Sherri A Keller
• Erin Ann Kelly
• Michael Kelly, M.D.
• Thompson James Kelly Jr., PH.D.
• Ken M. Harada, D.D.S., Inc.

• Dentist in Culver City, CA
• Providers in Culver City, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.