Individual provider Active NPI

Hilda Kanon, D.D.S.

  • Dentist
  • Campbell, CA
National Provider Identifier
1164571980
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38307 Issued in CA
Practice address
310 W Hamilton Ave
Suite 100
Campbell, CA 95008-0555
Phone
(408) 370-1185
Fax
(408) 370-7716
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38307 CA Primary

Addresses

Primary practice location

310 W Hamilton Ave
Suite 100
Campbell, CA 95008-0555

Mailing address

310 W Hamilton Ave
Suite 100
Campbell, CA 95008-0555
Phone (408) 370-1185

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

LicenseStateTypeSpecialty
38307CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164571980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W HAMILTON AVE",
            "address_2": "SUITE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080555",
            "telephone_number": "408-370-1185",
            "fax_number": "408-370-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W HAMILTON AVE",
            "address_2": "SUITE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080555",
            "telephone_number": "408-370-1185",
            "fax_number": "408-370-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANON",
        "first_name": "HILDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "38307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, 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.

Verify at the official NPI Registry.