Individual provider Active NPI

Zoya Kogan, RDHAP

  • Dental Hygienist
  • Hayward, CA
National Provider Identifier
1417014580
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
HAP122 Issued in CA
Practice address
26250 Industrial Blvd
Suite 24
Hayward, CA 94545-2922
Phone
(650) 218-1601
NPI assigned
Jan 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X HAP122 CA Primary

Addresses

Primary practice location

26250 Industrial Blvd
Suite 24
Hayward, CA 94545-2922

Mailing address

26250 Industrial Blvd
Suite 24
Hayward, CA 94545-2922
Phone (650) 218-1601

Other identifiers 1

IdentifierTypeStateIssuer
H0122-01OtherCAMEDI-CAL DENTAL PROGRAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HAP122CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Kirkland DDS Inc Current Accepting new patients

Locations

26250 Industrial Blvd
Ste 24
Hayward, CA 94545
Phone (650) 218-1601

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417132800000",
    "number": "1417014580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 INDUSTRIAL BLVD",
            "address_2": "SUITE 24",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452922",
            "telephone_number": "650-218-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 INDUSTRIAL BLVD",
            "address_2": "SUITE 24",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452922",
            "telephone_number": "650-218-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGAN",
        "first_name": "ZOYA",
        "name_prefix": "Mrs.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2014-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL DENTAL PROGRAM",
            "identifier": "H0122-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.