Individual provider Active NPI

Jigna K. Khetani, D.D.S.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1740552140
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61136 Issued in CA
Practice address
307 Tradewinds Dr
Apt 6
San Jose, CA 95123-6026
Phone
(408) 674-4745
NPI assigned
Jan 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61136 CA Primary

Addresses

Primary practice location

307 Tradewinds Dr
Apt 6
San Jose, CA 95123-6026

Mailing address

307 Tradewinds Dr
Apt 6
San Jose, CA 95123-6026

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

Interoperability endpoints

  • Direct secure messaging: jkhetani@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1740552140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 TRADEWINDS DR",
            "address_2": "APT 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 TRADEWINDS DR",
            "address_2": "APT 6",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951236026",
            "telephone_number": "408-674-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHETANI",
        "first_name": "JIGNA",
        "middle_name": "K.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "61136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.