Active NPI
Kenji B Saisho, DDS
- Dentist
- Salinas, CA
National Provider Identifier
1689760175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 51647
- Practice address
- 633 E Alvin Drive
Suite B
Salinas, CA 93906 - Phone
- (831) 443-1177
- Fax
- (831) 443-0705
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 51647 | CA | Primary |
Addresses
Primary practice location
633 E Alvin Drive
Suite B
Salinas, CA 93906
Mailing address
631 E Alvin Drive
Suite C
Salinas, CA 93906
Phone (831) 442-8878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D51647 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 51647 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salinas Valley Primecare Medical Group Inc | Past | Accepting new patients | |
| Central Coast Pediatric Dental Group | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Salinas, CA
- NPI 1205922705
-
- Specialist
- Salinas, CA
- NPI 1881678902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689760175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 E ALVIN DRIVE",
"address_2": "SUITE C",
"city": "SALINAS",
"state": "CA",
"postal_code": "93906",
"telephone_number": "831-442-8878",
"fax_number": "831-443-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E ALVIN DRIVE",
"address_2": "SUITE B",
"city": "SALINAS",
"state": "CA",
"postal_code": "93906",
"telephone_number": "831-443-1177",
"fax_number": "831-443-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAISHO",
"first_name": "KENJI",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "51647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D51647",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.