Individual provider Active NPI

Kiran Khemani, DDS

  • Dentist
  • Castro Valley, CA
National Provider Identifier
1346305729
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
48297 Issued in CA
Practice address
20406 Redwood Rd
Suite C-1
Castro Valley, CA 94546-4317
Phone
(408) 582-7919
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 48297 CA Primary

Addresses

Primary practice location

20406 Redwood Rd
Suite C-1
Castro Valley, CA 94546-4317

Mailing address

20406 Redwood Rd Ste C-1
Castro Valley, CA 94546-4317
Phone (510) 582-7919

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
48297CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1346305729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20406 REDWOOD RD STE C-1",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464317",
            "telephone_number": "510-582-7919",
            "fax_number": "510-582-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20406 REDWOOD RD",
            "address_2": "SUITE C-1",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464317",
            "telephone_number": "408-582-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEMANI",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.