Prabhpreet S Kaila, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

57847 Issued in CA

Practice address

403 W Felicita Ave
Ste 100
Escondido, CA 92025-6517

Phone

(619) 200-6292

NPI assigned

Oct 25, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1386634053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W FELICITA AVE",
            "address_2": "STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256517",
            "telephone_number": "619-200-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W FELICITA AVE",
            "address_2": "STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256517",
            "telephone_number": "619-200-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILA",
        "first_name": "PRABHPREET",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D111911",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504156200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Jungman, DDS
• William R Jungman, D.D.S.
• Russell Scott Kaczmar, PT, DPT
• Mark Leland Kadden, M.D.
• Yale Mitchell Kadesky, M.D.
• Kaiser Foundation Health Plan Inc
• Sarah Kalina, OTR
• Andysheh Kamgar-Parsi
• Michael Nicolaos Kaminis
• Christopher Raymond Kane, SUDRC

• Dentist in Escondido, CA
• Providers in Escondido, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.