Active NPI
Kinha Thakkar, DDS
- Dentist
- Santa Ana, CA
National Provider Identifier
1437720703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS106247
- Practice address
- 1575 N Grand Ave
Santa Ana, CA 92705-8511 - Phone
- (714) 689-7672
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- No
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 | DDS106247 | CA | Primary |
Addresses
Primary practice location
1575 N Grand Ave
Santa Ana, CA 92705-8511
Mailing address
3972 Barranca Pkwy Ste J329
Irvine, CA 92606-1204
Phone (818) 876-2713
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS106247 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1437720703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3972 BARRANCA PKWY STE J329",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061204",
"telephone_number": "818-876-2713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 N GRAND AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927058511",
"telephone_number": "714-689-7672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKKAR",
"first_name": "KINHA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS106247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.