Kristian Lundgren-Koszeghy, DMD, MMSC.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

51967 Issued in CA

Practice address

850 Middlefield Rd Ste 1
Palo Alto, CA 94301-2918

Phone

(650) 326-1400

Fax

(650) 326-2909

NPI assigned

Aug 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 25, 2018 through Jan 25, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ghaderi Koszeghy Periodontal Partnership

  • Periodontics
  • Palo Alto, CA
  • NPI 1205424462
  NPD Authorized official
• Kristian Lundgren-Koszeghy D.M.D, M.M.SC., Inc

  • Periodontics
  • Palo Alto, CA
  • NPI 1861960692
  NPD Authorized official
• Kristian Lundgren Koszeghy DMD MMSC Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Palo Alto, CA
  • NPI 1881604494
  Authorized official Same address or phone
• Lilya Vaismana Professional Dental Corp

  dba DBA Ocean View Dental

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1548278799
  NPD (past)
• Soltani Dental Corporation

  • Dental Clinic/Center
  • San Francisco, CA
  • NPI 1902334956
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1639187800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 LA PLAYA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941213262",
            "telephone_number": "415-221-5592",
            "fax_number": "415-221-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MIDDLEFIELD RD STE 1",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012918",
            "telephone_number": "650-326-1400",
            "fax_number": "650-326-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "760 La Playa St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941213262",
            "country_code": "US",
            "telephone_number": "415-221-5592",
            "fax_number": "415-221-8826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDGREN-KOSZEGHY",
        "first_name": "KRISTIAN",
        "credential": "DMD, MMSC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "51967",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Gary Lum, MSW
• Rongzhi Lun, MD
• Dhrutika Lunagariya
• Dennis Paul Lund, MD
• Robert Lundahl, MD
• Derrick Lung, MD
• Alicia Mercedes Luo Lim, FNP
• Albert Kwanyu Luo, M.D.
• Candace Luo, L.AC
• Jerry W Luo, MD

• Periodontics in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.