Individual provider Active NPI

Karantej Singh Kohli, DMD

  • Dentist
  • Los Alamitos, CA
National Provider Identifier
1295353654
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
105007 Issued in CA
Practice address
3851 Katella Ave Ste 225
Los Alamitos, CA 90720-3353
Phone
(562) 285-6767
NPI assigned
Jul 10, 2020
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 105007 CA Primary

Addresses

Primary practice location

3851 Katella Ave Ste 225
Los Alamitos, CA 90720-3353

Mailing address

13516 Abana St
Cerritos, CA 90703-1035
Phone (562) 608-6570

Other practice location 1

20855 Golden Springs Dr Ste 108
Walnut, CA 91789-3800
Phone (909) 598-1122

Other practice location 2

1050 Lakes Dr Ste 140
West Covina, CA 91790-2929
Phone (626) 653-9560

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
105007CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K Tej Dental Inc Dentist Current Accepting new patients
Kasangra West Covina Dentist Past Accepting new patients

Organizations & group practices 2

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1295353654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13516 ABANA ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907031035",
            "telephone_number": "562-608-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 225",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203353",
            "telephone_number": "562-285-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20855 Golden Springs Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "CA",
            "postal_code": "917893800",
            "country_code": "US",
            "telephone_number": "909-598-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Lakes Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917902929",
            "country_code": "US",
            "telephone_number": "626-653-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHLI",
        "first_name": "KARANTEJ",
        "middle_name": "SINGH",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "105007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.