Active NPI
Kinnari Jayesh Ghia, DDS
- General Practice Dentistry
- Wichita Falls, TX
National Provider Identifier
1255358966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48273
- Practice address
- 4501 Call Field Rd
Wichita Falls, TX 76308-2447 - Phone
- (940) 692-8411
- Fax
- (940) 692-8428
- NPI assigned
- Jul 17, 2006
- Last updated
- Aug 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48273 | CA | Primary |
Addresses
Primary practice location
4501 Call Field Rd
Wichita Falls, TX 76308-2447
Mailing address
4501 Call Field Rd
Wichita Falls, TX 76308-2447
Phone (940) 692-8411
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
| License | State | Type | Specialty |
|---|---|---|---|
| 48273 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Herzog Southlake PC | 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": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724544000000",
"number": "1255358966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 CALL FIELD RD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082447",
"telephone_number": "940-692-8411",
"fax_number": "940-692-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 CALL FIELD RD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082447",
"telephone_number": "940-692-8411",
"fax_number": "940-692-8428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHIA",
"first_name": "KINNARI",
"middle_name": "JAYESH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2024-08-25",
"certification_date": "2024-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.