Dara Kimia, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

61127 Issued in CA

Practice address

16605 Devonshire St
Granada Hills, CA 91344-6631

Phone

(480) 619-1415

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

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.

• Dara Kimia DMD a Dental Corp

  • General Practice Dentistry
  • Granada Hills, CA
  • NPI 1912458423
  Medicare reassignment Authorized official
• Pouldar Kimia and Lorenz Dental Partnership

  • General Practice Dentistry
  • Sherman Oaks, CA
  • NPI 1639624463
  NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393718400000",
    "number": "1295896678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446631",
            "telephone_number": "480-619-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 DEVONSHIRE ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446631",
            "telephone_number": "480-619-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMIA",
        "first_name": "DARA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61127",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D07496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris Kim, PHARM D.
• Meehwa Heidi Kim
• Sang Woo Kim
• Seog Woo Kim, D.C.
• William Kim
• Kind Heart Senior Care Inc. (A Kind Heart Senior Care)
• Kings Home Health, Inc.
• Kirikian & Mouradian Dental Associates a Professional Dental Corp
• Kirpal Enterprises Inc (Medicine Shoppe)
• Chad David Klafter

• Dentist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; 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.