Kian Nikdel, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

105783 Issued in CA

Practice address

3291 Stanford Ranch Rd Ste 102
Rocklin, CA 95765-5577

Phone

(916) 435-1665

NPI assigned

Oct 12, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kian Nikdel DDS MSD PLLC

  dba Lake Jackson Root Canal Specialists

  • Endodontics
  • Lake Jackson, TX
  • NPI 1942721535
  NPD Authorized official
• Rodgers and Ghazal Dental Corporation

  dba Highland Dental Group

  • General Practice Dentistry
  • Rocklin, CA
  • NPI 1508947771
  NPD (past)

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1366992471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N DIXIE DR STE 200",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665958",
            "telephone_number": "979-297-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 STANFORD RANCH RD STE 102",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655577",
            "telephone_number": "916-435-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Westheimer Rd",
            "address_2": "Suite Number 1",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770633414",
            "country_code": "US",
            "telephone_number": "713-932-7730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKDEL",
        "first_name": "KIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-12",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "105783",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "32482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyvy Nguyen, PT
• Xuan-Loc Van Nguyen, DO
• Hunntr Nichols
• Amy Fan Nickel
• Maria C. Nieves
• Emilia Nikolayev
• Emi Nogen
• Destiny Nicole Nolan
• Norcal Mobile Wound Care a Physician Assistant Corporation
• Norcal Treatment Centers

• Endodontics in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.