Kenneth Eugene Kolz, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

22239 Issued in CA

Practice address

1987 Royal Ave Ste 2
Simi Valley, CA 93065-4655

Phone

(805) 526-8637

Fax

(805) 578-2307

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• James Hoehn DDS Dental Corporation

  • Dentist
  • Simi Valley, CA
  • NPI 1760778732
  NPD (past)
• Simi Royal Dental Center

  • Dentist
  • Simi Valley, CA
  • NPI 1558657528
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265587133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 CAMDEN VISTA CT",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930655066",
            "telephone_number": "805-526-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 ROYAL AVE STE 2",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930654655",
            "telephone_number": "805-526-8637",
            "fax_number": "805-578-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLZ",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "22239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Knipper
• Jennifer Knox, CERTIFIED HAIR LOSS
• John Jung Gill Koh, MD
• Kolchansky Dental Corporation
• Mark Kolchansky, D.D.S
• Howard Ronald Kopel, DDS
• Beverley Kornder, M.D.
• Tessa Margaret Koziol
• Dana Ellen Kramer, R.N.
• Katherine Anne Krier, FNP

• Dentist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.