Organization Active NPI

Kevin Kobliska DMD Inc

  • Dental Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1194434670
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KEVIN KOBLISKA DMD INC
Practice address
9450 Stockdale Hwy # 110
Bakersfield, CA 93311-3654
Phone
(661) 665-0500
NPI assigned
Nov 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Dr. Kevin Joseph Kobliska, DMDNPI 1780179879
Title
Head Dentist
Phone
(661) 496-2175

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9450 Stockdale Hwy # 110
Bakersfield, CA 93311-3654

Mailing address

1316 Fenwick Dr
Bakersfield, CA 93312-4644
Phone (661) 496-2175

Other names 1

  • Woolf Dental Former legal business name

National Provider Directory

National Provider Directory

Locations

9450 Stockdale Hwy
#110
Bakersfield, CA 93311
Phone (661) 665-0500

Practitioners & affiliated clinicians

Practitioners 3

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": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1194434670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 FENWICK DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933124644",
            "telephone_number": "661-496-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 STOCKDALE HWY # 110",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113654",
            "telephone_number": "661-665-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN KOBLISKA DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "KOBLISKA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "HEAD DENTIST",
        "authorized_official_telephone_number": "661-496-2175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woolf Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.