Individual provider Active NPI

Amit Kalra, DDS

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1497853725
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54268 Issued in CA
Practice address
1435 S Vermont Ave Ste 101
Los Angeles, CA 90006-4543
Phone
(213) 739-3096
Fax
(213) 739-3098
NPI assigned
Sep 20, 2006
Last updated
Jul 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 54268 CA Primary

Addresses

Primary practice location

1435 S Vermont Ave Ste 101
Los Angeles, CA 90006-4543

Mailing address

1435 S Vermont Ave Ste 101
Los Angeles, CA 90006-4543
Phone (213) 739-3096

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haisam Sayed, DDS Inc. PastSince Jan 6, 2015 Accepting new patients
Impressive Dental Care PastSince May 7, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1497853725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 S VERMONT AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064543",
            "telephone_number": "213-739-3096",
            "fax_number": "213-739-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 S VERMONT AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900064543",
            "telephone_number": "213-739-3096",
            "fax_number": "213-739-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALRA",
        "first_name": "AMIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.