Mohamed A Kaou, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61030 Issued in CA

Practice address

5555 E Kings Canyon Rd
Su101
Fresno, CA 93727-4532

Phone

(559) 255-1122

NPI assigned

Nov 30, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mkaou@direct.westerndental.com

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.

• Ozder Dental Corporation

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1346571809
  NPD (past)
• Ozder Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Clovis, CA
  • NPI 1639736762
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1497022701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 E TRENTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205319",
            "telephone_number": "559-577-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E KINGS CANYON RD",
            "address_2": "SU101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937274532",
            "telephone_number": "559-255-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAOU",
        "first_name": "MOHAMED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valori Jean Kantor, LVN
• Grace Ihuoma Kanu
• Kanwar T Mahal, MD Inc.
• Kao N. Vang, D.M.D. a Professional Corporation
• Jui-Yu Kao
• Barbara A Kapisi
• Monika B Kapoor, PA-C
• Stephanie Lynn Kapsimallis, FNP
• Mariam Kaptryan-Havatian
• Sirvard M Kaptryan, FNP-C

• Dentist in Fresno, CA
• Providers in Fresno, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.