Dhanesh S Katbamna, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

39972 Issued in CA

Practice address

3390 Darby St
# 446
Simi Valley, CA 93063-5353

Phone

(805) 579-9161

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Interoperability endpoints

• Direct secure messaging: dkatbamna@direct.westerndental.com
• Direct secure messaging: dkatbamna823189@direct.ochin.org
• Direct secure messaging: dhanesh.katbamna.p1@direct.clinicas.nextgenshare.com

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1437217544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 DARBY ST",
            "address_2": "# 446",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635353",
            "telephone_number": "805-579-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 DARBY ST",
            "address_2": "# 446",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635353",
            "telephone_number": "805-579-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATBAMNA",
        "first_name": "DHANESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B39972-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashmeeta Praful Kapadia, M.D.
• Shayla Fowler Kasel, M.D.
• Ari Kassardjian, MD
• Katayoun Setareh Dental Corporation
• Katayoun Setareh Shenas, D.D.S., Inc
• Behdod Katebian
• Jill Terry Katell, M.F.T.
• Marina Katrjian
• Jill Brooke Katz, PHARM D
• Anita Kaul, M.D.

• Dentist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.