Kim Kishin Gandhi, D.D.S., P.a.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11592 Issued in FL

Legal business name

KIM KISHIN GANDHI, D.D.S., P.A.

Practice address

2247 Palm Beach Lakes Blvd
# 207
West Palm Beach, FL 33409-3470

Phone

(561) 242-2861

Fax

(561) 242-2833

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kim Kishin Gandhi, D.D.SNPI 1396864021

Title

Dentist

Phone

(561) 242-2861

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kim Kishin Gandhi, D.D.S.

  • Periodontics
  • West Palm Beach, FL
  • NPI 1396864021
  NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1356460083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "# 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "561-242-2861",
            "fax_number": "561-242-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD",
            "address_2": "# 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093470",
            "telephone_number": "561-242-2861",
            "fax_number": "561-242-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM KISHIN GANDHI, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "KISHIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "561-242-2861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "11592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.