Vijaya Shashi Kiran, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50626 Issued in CA

Practice address

1721 Story Rd
San Jose, CA 95122-1922

Phone

(408) 406-3842

NPI assigned

Dec 4, 2006

Last updated

Jan 20, 2023By the provider in NPPES

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Vijaya S Kiran DDS Inc

  dba Radiant Dental Center

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1770278442
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1578621470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 ARCHWOOD CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482614",
            "telephone_number": "408-406-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221922",
            "telephone_number": "408-406-3842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 W Yosemite Ave",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953375239",
            "country_code": "US",
            "telephone_number": "209-624-5162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2454 Story Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951221058",
            "country_code": "US",
            "telephone_number": "408-406-3842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRAN",
        "first_name": "VIJAYA",
        "middle_name": "SHASHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Kinney, D.C., B.S.
• Ann M. Kinoshita, O.D.
• Dennis K. Kinoshita, D.D.S.
• Sreelata Kintala
• Theodora Kipers, MD
• Lillian Kirby, RD
• Christl Elaine Kirchner, NP
• Michael Kirihara, LMFT
• Kirk Yen, DDS, Inc.
• Livier C Kirkland, BT

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.