Active NPI
Kristi Doberenz, DDS
- Dentist
- Orinda, CA
National Provider Identifier
1396960571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 36746
- Practice address
- 8 Camino Encinas
Suite 110
Orinda, CA 94563-3350 - Phone
- (925) 254-3725
- Fax
- (925) 254-3701
- NPI assigned
- Apr 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 36746 | CA | Primary |
Addresses
Primary practice location
8 Camino Encinas
Suite 110
Orinda, CA 94563-3350
Mailing address
8 Camino Encinas
Suite 110
Orinda, CA 94563-3350
Phone (925) 254-3725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 28, 2016 through Mar 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36746 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mojgan Mehranfard, DDS, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396960571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CAMINO ENCINAS",
"address_2": "SUITE 110",
"city": "ORINDA",
"state": "CA",
"postal_code": "945633350",
"telephone_number": "925-254-3725",
"fax_number": "925-254-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CAMINO ENCINAS",
"address_2": "SUITE 110",
"city": "ORINDA",
"state": "CA",
"postal_code": "945633350",
"telephone_number": "925-254-3725",
"fax_number": "925-254-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBERENZ",
"first_name": "KRISTI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "36746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orinda, CA
- Victoria Elizabeth Dabasinskas, MA MFT
- David C. Hansen
- Amelia Davis, CMT
- Lisa Otis Degroot, LPCC, CRC
- Baljit Dhillon, DDS
- Kelly Elaine Dombek
- Dr Kevin Wong DC Orinda Chiropractic Center PC (Orinda Chiropractic and Laser Center)
- East Bay Gynecologic Oncology
- East Bay Pediatrics Medical Group
- East Bay Physicians Medical Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.