Jade Caitilin Kaur Kandola, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D012303 Issued in AZ

Practice address

3440 E Baseline Rd Ste 106
Mesa, AZ 85204-7247

Phone

(480) 926-2350

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mesa Modern Dentistry, LLP

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1477821460
  NPD (past)
• Pinnacle Modern Dentistry, LLP

  • Dentist
  • Scottsdale, AZ
  • NPI 1144698606
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1386477206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047247",
            "telephone_number": "480-926-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047247",
            "telephone_number": "480-926-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23271 N Scottsdale Rd Ste A106",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852554484",
            "country_code": "US",
            "telephone_number": "480-544-2383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANDOLA",
        "first_name": "JADE",
        "middle_name": "CAITILIN KAUR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudha Kamineni, MD
• Kamini Patel PLLC
• Kambiz Kamrani, M.D., M.S.
• Catherine Kan
• Katherine Anne Kandaris, LPC
• Arricka A Kane
• Halle Kane
• Maren Kanekoa, ED. S.
• Gracia Colombe Kaneza
• Serena Kang

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.