Rani Koganti Kaza DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RANI KOGANTI KAZA DDS PLLC

Doing business as

Spruce Canyon Family Dentistry

Practice address

21699 E Quincy Ave Unit H
Aurora, CO 80015-2886

Phone

(720) 222-3132

Fax

(720) 330-9919

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rani Koganti Kaza, DDS

Title

Owner

Phone

(720) 222-3132

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Spruce Canyon Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rani Samyuktha Koganti Kaza, DDS

  • General Practice Dentistry
  • Aurora, CO
  • NPI 1083844328
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1730744046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21699 E QUINCY AVE UNIT H",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152886",
            "telephone_number": "720-222-3132",
            "fax_number": "720-330-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21699 E QUINCY AVE UNIT H",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152886",
            "telephone_number": "720-222-3132",
            "fax_number": "720-330-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANI KOGANTI KAZA DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KAZA",
        "authorized_official_first_name": "RANI",
        "authorized_official_middle_name": "KOGANTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-222-3132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083844328",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Canyon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regula Randolph
• Lindsey Raney, DPT
• Sunad Rangarajan, MD, DNB
• Angela Rangel Orta
• Ashutosh Shyam Rangole, MD
• Sulakshana Ranjan Shivakumar, MD
• Jennifer Lynn Rankin, D.D.S.
• Rannah Home Health Care LLC
• Rannah Home Health Care LLC
• Kendra Ransom

• Dental Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.