NPIMap

Organization Active NPI

Yan Kalika Dental Corporation

Doing business as Image Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South San Francisco, CA
National Provider Identifier
1336977966
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
YAN KALIKA DENTAL CORPORATION
Doing business as
Image Orthodontics
Practice address
2400 Westborough Blvd Ste 208
South San Francisco, CA 94080-5413
Phone
(650) 873-2740
Fax
(916) 384-3844
NPI assigned
Jul 24, 2024
Organization subpart
Yes
Parent organization
YAN KALIKA DENTAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Yan Kalika, DMD
Title
President
Phone
(916) 297-6603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2400 Westborough Blvd Ste 208
South San Francisco, CA 94080-5413

Mailing address

3075 Beacon Blvd
West Sacramento, CA 95691-3462
Phone (916) 259-9255

Other names 1

  • Image Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Yan Kalika Dental Corporation38 organizations share this tax ID, including this one
Part of
Yan Kalika Dental Corporation

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1336977966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 BEACON BLVD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913462",
            "telephone_number": "916-259-9255",
            "fax_number": "916-384-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WESTBOROUGH BLVD STE 208",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805413",
            "telephone_number": "650-873-2740",
            "fax_number": "916-384-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAN KALIKA DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAN KALIKA DENTAL CORPORATION",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KALIKA",
        "authorized_official_first_name": "YAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-297-6603",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Image Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Image Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.