Individual provider Active NPI

Kiran Napa, DMD

  • Dentist
  • Azle, TX
National Provider Identifier
1467940965
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35802 Issued in TX
Practice address
600 Boyd Rd Ste B
Azle, TX 76020-4860
Phone
(469) 565-1206
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10800699-8903 UT
General Practice Dentistry 1223G0001X 10800699-9922 UT
Dentist 122300000X 35802 TX Primary

Addresses

Primary practice location

600 Boyd Rd Ste B
Azle, TX 76020-4860

Mailing address

1728 Crested Ridge Rd
Aledo, TX 76008-1695
Phone (515) 240-8250

Other practice location 1

4888 S Highland Dr
Holladay, UT 84117-6007
Phone (801) 997-1137

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
10800699-8903UTMDGeneral Practice Dentistry
10800699-9922UTMDGeneral Practice Dentistry
35802TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1467940965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 CRESTED RIDGE RD",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081695",
            "telephone_number": "515-240-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BOYD RD STE B",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204860",
            "telephone_number": "469-565-1206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4888 S Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841176007",
            "country_code": "US",
            "telephone_number": "801-997-1137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAPA",
        "first_name": "KIRAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10800699-8903",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "10800699-9922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Azle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.