Individual provider Active NPI

Kimran Saini, DDS

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1619104767
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12675 Issued in MN
Practice address
43693 Mission Blvd
Fremont, CA 94539-5832
Phone
(510) 651-7500
NPI assigned
Jun 16, 2009
Last updated
Apr 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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 D12675 MN Primary

Addresses

Primary practice location

43693 Mission Blvd
Fremont, CA 94539-5832

Mailing address

43693 Mission Blvd
Fremont, CA 94539-5832
Phone (510) 651-7500

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140326002313 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668603184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12675MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1619104767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43693 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395832",
            "telephone_number": "510-651-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43693 MISSION BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395832",
            "telephone_number": "510-651-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINI",
        "first_name": "KIMRAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.