NPIMap

Organization Active NPI

Yan Kalika Dental Corporation

Doing business as Image Orthodontics

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1205664810
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
YAN KALIKA DENTAL CORPORATION
Doing business as
Image Orthodontics
Practice address
1757 Blossom Hill Rd Ste 30
San Jose, CA 95124-6212
Phone
(916) 259-9255
Fax
(916) 384-3844
NPI assigned
Jul 24, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
YAN KALIKA DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Yan Kalika, DMDNPI 1427251644
Title
President
Phone
(916) 297-6603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU
General Practice Dentistry 1223G0001X NU Primary
Pediatric Dentistry 1223P0221X NU
Periodontics 1223P0300X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU

Addresses

Primary practice location

1757 Blossom Hill Rd Ste 30
San Jose, CA 95124-6212

Mailing address

3075 Beacon Blvd
West Sacramento, CA 95691-3462
Phone (916) 297-6600

Other names 1

  • Image Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yan Kalika Dental Corporation39 organizations share this tax ID, including this one
Part of
Yan Kalika Dental Corporation

Other organizations with this tax ID 38

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

View all 38

Locations

1757 Blossom Hill Rd
Ste 30
San Jose, CA 95124
Phone (408) 358-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1205664810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462",
            "telephone_number": "916-297-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 BLOSSOM HILL RD STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951246212",
            "telephone_number": "916-259-9255",
            "fax_number": "916-384-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAN KALIKA DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAN KALIKA DENTAL CORPORATION",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "KALIKA",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-297-6603",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Image Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Image Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.