Individual provider Active NPI

Diviya Khiria, DDS

  • General Practice Dentistry
  • Rohnert Park, CA
National Provider Identifier
1215284112
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61633 Issued in CA
Practice address
5755 Redwood Drive
Bright Now Dental
Rohnert Park, CA 94928-7015
Phone
(707) 584-1000
NPI assigned
Aug 9, 2012
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61633 CA Primary

Addresses

Primary practice location

5755 Redwood Drive
Bright Now Dental
Rohnert Park, CA 94928-7015

Mailing address

5755 Redwood Drive
Bright Now Dental
Rohnert Park, CA 94928-7015
Phone (707) 584-1000

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
61633CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Erick N. Cuenca DMD Inc General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1215284112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 REDWOOD DRIVE",
            "address_2": "BRIGHT NOW DENTAL",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949287015",
            "telephone_number": "707-584-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 REDWOOD DRIVE",
            "address_2": "BRIGHT NOW DENTAL",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949287015",
            "telephone_number": "707-584-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHIRIA",
        "first_name": "DIVIYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.