Organization Active NPI

Kao Holdings

Doing business as The Children's Dentist

  • Pediatric Dentistry
  • Corpus Christi, TX
National Provider Identifier
1407421456
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KAO HOLDINGS
Doing business as
The Children's Dentist
Practice address
5920 Saratoga Blvd Ste 370
Corpus Christi, TX 78414-4119
Phone
(361) 779-7648
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Dr. Oluwakare Opaneye, DDS
Title
Lead Doctore
Phone
(404) 759-5547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5920 Saratoga Blvd Ste 370
Corpus Christi, TX 78414-4119

Mailing address

5920 Saratoga Blvd Ste 370
Corpus Christi, TX 78414-4119
Phone (361) 779-7648

Other identifiers 3

IdentifierTypeStateIssuer
1497899298MedicaidTX
1699186429MedicaidMA
1477928331MedicaidTX

Other names 1

  • The Children's Dentist Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Clinic Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1407421456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 370",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144119",
            "telephone_number": "361-779-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 SARATOGA BLVD STE 370",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144119",
            "telephone_number": "361-779-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAO HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "OPANEYE",
        "authorized_official_first_name": "OLUWAKARE",
        "authorized_official_title_or_position": "LEAD DOCTORE",
        "authorized_official_telephone_number": "404-759-5547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497899298",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699186429",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477928331",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clinic",
            "affiliation": "N",
            "endpointDescription": "Providers",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5920 Saratoga Blvd Ste 370",
            "city": "Corpus Christi",
            "state": "TX",
            "country_code": "US",
            "postal_code": "784144119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Children's Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.