Organization Active NPI

Kirkland DDS Inc

  • Dentist
  • Hayward, CA
National Provider Identifier
1508048224
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KIRKLAND DDS INC
Practice address
24301 Southland Dr Ste 409F
Hayward, CA 94545-1551
Phone
(800) 719-6107
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Zoya Kogan, RDHAPNPI 1417014580
Title
Corporate Secretary
Phone
(800) 719-6107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

24301 Southland Dr Ste 409F
Hayward, CA 94545-1551

Mailing address

26250 Industrial Blvd Ste 24
Hayward, CA 94545-2922
Phone (800) 719-6107

National Provider Directory

National Provider Directory

Locations

24301 Southland Dr
Ste 409F
Hayward, CA 94545
Phone (800) 719-6107

26250 Industrial Blvd
Ste 24
Hayward, CA 94545
Phone (650) 218-1601

109 Stevenson St
Ste 200
San Francisco, CA 94105
Phone (415) 402-0707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1508048224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 INDUSTRIAL BLVD STE 24",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452922",
            "telephone_number": "800-719-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 409F",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451551",
            "telephone_number": "800-719-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKLAND DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "ZOYA",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "800-719-6107",
        "authorized_official_credential": "RDHAP"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.