Koka Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

63470 Issued in CA

Legal business name

KOKA DENTAL CORPORATION

Practice address

8031 Linda Vista Rd
Suite 210
San Diego, CA 92111-5110

Phone

(858) 268-5020

Fax

(858) 268-5030

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sreenivas Koka, DDS, PHDNPI 1699753319

Title

Owner

Phone

(858) 268-5020

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sreenivas Koka, D.D.S.

  • Prosthodontics
  • Leland, MS
  • NPI 1699753319
  NPD (past) Authorized official

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1346626066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 LINDA VISTA RD",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115110",
            "telephone_number": "858-268-5020",
            "fax_number": "858-268-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 LINDA VISTA RD",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115110",
            "telephone_number": "858-268-5020",
            "fax_number": "858-268-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "KOKA",
        "authorized_official_first_name": "SREENIVAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-268-5020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "63470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Dimitri Kohout, DDS
• Nevanna Ingeborg Koicheff, DDS
• Koinonia Foster Homes, Inc. (Koinonia Family Services)
• Juan R Kojima, P.A.
• Alexis Nicole Kojo I
• Anuradha Koka, M.D.
• Lily Kokami
• Ashley Erin Kokjohn, MSW
• Amir Hossein Kolahdouz Isfahani, MD
• Matthew John Kolar

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.