Individual provider Active NPI

Kia Kiani, DDS

  • Dentist
  • Irvine, CA
National Provider Identifier
1356376396
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60832 Issued in CA
Practice address
7725 Gateway Unit 1531
Irvine, CA 92618-1592
Phone
(310) 691-2100
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11918 MD
Dentist 122300000X 60832 CA Primary

Addresses

Primary practice location

7725 Gateway Unit 1531
Irvine, CA 92618-1592

Mailing address

7725 Gateway Unit 1531
Irvine, CA 92618-1592
Phone (310) 691-2100

Other practice location 1

11301 Rockville Pike
Kensington, MD 20895
Phone (301) 770-1200

Other practice location 2

11301 Rockville Pike
Kensington, MD 20895
Phone (301) 770-1200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11918MDMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356376396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 GATEWAY UNIT 1531",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181592",
            "telephone_number": "310-691-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 GATEWAY UNIT 1531",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181592",
            "telephone_number": "310-691-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11301 Rockville Pike",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "20895",
            "country_code": "US",
            "telephone_number": "301-770-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11301 Rockville Pike",
            "address_purpose": "LOCATION",
            "city": "Kensington",
            "state": "MD",
            "postal_code": "20895",
            "country_code": "US",
            "telephone_number": "301-770-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIANI",
        "first_name": "KIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11918",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.