NPIMap

Organization Active NPI

Kalyani DDS Inc

  • General Practice Dentistry
  • Riverside, CA
National Provider Identifier
1154786648
Registry record updated Apr 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64010 Issued in CA
Legal business name
KALYANI DDS INC
Practice address
17024 Van Buren Blvd
Ste B
Riverside, CA 92504-5938
Phone
(951) 892-9194
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2016

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

Authorized official

Name
Dr. Harsh KalyaniNPI 1265832786
Title
President
Phone
(951) 892-9194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 64010 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 61744 CA

Addresses

Primary practice location

17024 Van Buren Blvd
Ste B
Riverside, CA 92504-5938

Mailing address

17586 Dry Run CT
Riverside, CA 92504-8820
Phone (951) 892-9194

National Provider Directory

National Provider Directory
Tax ID family
Kalyani DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

17024 Van Buren Blvd
Ste B
Riverside, CA 92504
Phone (951) 729-9349

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459641600000",
    "number": "1154786648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17586 DRY RUN CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925048820",
            "telephone_number": "951-892-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17024 VAN BUREN BLVD",
            "address_2": "STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925045938",
            "telephone_number": "951-892-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALYANI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2016-04-03",
        "status": "A",
        "authorized_official_last_name": "KALYANI",
        "authorized_official_first_name": "HARSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-892-9194",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64010",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2016; 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.