Organization Active NPI

Kaplan Dental Group Innovations PC

  • Dentist
  • Oakland, CA
National Provider Identifier
1649008400
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KAPLAN DENTAL GROUP INNOVATIONS PC
Practice address
1333 Broadway FL 3
Oakland, CA 94612-1917
Phone
(310) 503-1729
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Gregory D Kaplan, DDS
Title
Director
Phone
(310) 503-7129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1333 Broadway FL 3
Oakland, CA 94612-1917

Mailing address

3932 Wilshire Blvd Ste 102
Los Angeles, CA 90010-3334

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2324746Kaplan Dental Group Innovations, PC1333 Broadway, FL 3, Oakland, CA 94612Certificate of waiverMay 29, 2027

National Provider Directory

National Provider Directory

Locations

3932 Wilshire Blvd
Ste 102
Los Angeles, CA 90010

1333 Broadway
Fl 3
Oakland, CA 94612
Phone (310) 503-1729

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1649008400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 WILSHIRE BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 BROADWAY FL 3",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121917",
            "telephone_number": "310-503-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPLAN DENTAL GROUP INNOVATIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-503-7129",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.