Individual provider Active NPI

Nicholas Joseph Kaslin, DDS

  • Dentist
  • Gilroy, CA
National Provider Identifier
1184119604
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
104769 Issued in CA
Practice address
9460 N Name Uno
Gilroy, CA 95020-3537
Phone
(408) 729-9700
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 104769 CA Primary
Dentist 122300000X DEN.00203658 CO

Addresses

Primary practice location

9460 N Name Uno
Gilroy, CA 95020-3537

Mailing address

2453 Raywood VW Apt 332
Colorado Springs, CO 80920-7748
Phone (303) 990-2786

Other practice location 1

9625 Prominent Pt Ste 100
Colorado Springs, CO 80924-5005
Phone (719) 495-5748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181203002864 CO Practitioner - Dentist 2264776210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN.00203658COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Nov 12, 2018 Accepting new patients
Peak Vista Community Health Centers CurrentSince Nov 12, 2018 Accepting new patients
Prominent Point Dental Group and Orthodontics, LLP Past Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

Organizations & group practices 4

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1184119604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2453 RAYWOOD VW APT 332",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207748",
            "telephone_number": "303-990-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203537",
            "telephone_number": "408-729-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9625 Prominent Pt Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809245005",
            "country_code": "US",
            "telephone_number": "719-495-5748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASLIN",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104769",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

Verify at the official NPI Registry.