Ankita Kakar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS106876 Issued in CA

Practice address

2448 Guerneville Rd Ste 200
Santa Rosa, CA 95403-7223

Phone

(707) 579-2808

NPI assigned

Nov 14, 2021

Sex

Female

Sole proprietor

Yes

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.

• Petersen Dental Care

  • Dental Clinic/Center
  • Santa Rosa, CA
  • NPI 1366256125
  NPD

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

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2021.

{
    "created_epoch": "1636848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1346906351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 BRUSH CREEK RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042778",
            "telephone_number": "818-746-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 GUERNEVILLE RD STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037223",
            "telephone_number": "707-579-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKAR",
        "first_name": "ANKITA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-14",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Hospitals
• Kaiser Permanente
• Christine Kaiser, M.D.
• Elizabeth A. Kaiser, RN, PHN
• Jennifer Ann Kaiser, PHARMD
• Caroline Kalaw, RPH
• Sri Kalidindi, PHARMD
• Mathilda Kalina, FNP-C
• Stacey Cadigan Kalinowski, M.A.
• Tatiana Kalita

• All providers in Santa Rosa, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.