Kevin P. Parekh, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

102144 Issued in CA

Practice address

1455 G St
San Diego, CA 92101-7434

Phone

(619) 324-4981

NPI assigned

Jul 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kevin P Parekh

  • Dental Clinic/Center
  • Pensacola, FL
  • NPI 1992386163
  NPD Authorized official
• Minh Pham and Diana DO Dental Corporation

  • Dentist
  • San Diego, CA
  • NPI 1710351739
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1235484791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E BURGESS RD STE A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046388",
            "telephone_number": "850-474-8816",
            "fax_number": "850-474-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 G ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017434",
            "telephone_number": "619-324-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREKH",
        "first_name": "KEVIN",
        "middle_name": "P.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19782",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deyran Paredes
• Diana V Paredes
• Anirudh Pareek, M.D.
• Anjali Sheena Parekh, M.D
• Justin Raj Parekh, MD
• Minita Arvin Parekh, O.D.
• Francesca Victoria Paretta
• Georgina Louise Parfitt
• Daniela Parga, MD
• Anthony S Parham, LMFT

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.