Individual provider Active NPI

Daniel Kohanghadosh, DDS

  • Pediatric Dentistry
  • Temecula, CA
National Provider Identifier
1669231460
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
110447 Issued in CA
Practice address
40706 Winchester Rd
Temecula, CA 92591
Phone
(310) 873-8372
NPI assigned
Mar 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 110447 CA Primary
Dentist 122300000X 110447 CA

Addresses

Primary practice location

40706 Winchester Rd
Temecula, CA 92591

Mailing address

6660 Drexel Ave
Los Angeles, CA 90048-4209
Phone (310) 873-8372

Other practice location 1

763 Town Center Dr
Oxnard, CA 93036-1168
Phone (310) 873-8372

Other practice location 2

1337 N Mountain Ave
Ontario, CA 91762-1134
Phone (310) 873-8372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110447CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1669231460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6660 DREXEL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484209",
            "telephone_number": "310-873-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40706 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "310-873-8372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "763 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930361168",
            "country_code": "US",
            "telephone_number": "310-873-8372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1337 N Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917621134",
            "country_code": "US",
            "telephone_number": "310-873-8372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHANGHADOSH",
        "first_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "110447",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "110447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.