Kim Kishin Gandhi, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN11592 Issued in FL

Practice address

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

Phone

(561) 242-2861

Fax

(561) 242-2833

NPI assigned

Mar 27, 2007

Last updated

Nov 20, 2024By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kim Kishin Gandhi, D.D.S., P.a.

  • Periodontics
  • West Palm Beach, FL
  • NPI 1356460083
  NPD Authorized official
• Periodontal & Implant Excellence

  • Periodontics
  • West Palm Beach, FL
  • NPI 1326858697
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1396864021",
    "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": "33409",
            "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": "33409",
            "telephone_number": "561-242-2861",
            "fax_number": "561-242-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "KIM",
        "middle_name": "KISHIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "11592",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN11592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eboneigh Gamble
• Ivonne Susana Gamboa, APRN
• Gameli Care Solutions LLC.
• Darlene Gamez
• Yousuf Khan Gandapur, MD
• Jonathan Anand Ganesh, MD
• Pratima Devi Ganesh, RN
• Nadia Ganot
• William Harry Gans, M.D.
• Anna Gantz

• 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.
• 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.