Individual provider Active NPI

Disha J Kheni, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1760195341
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS108223 Issued in CA
Practice address
5261 Elkhorn Blvd
Sacramento, CA 95842-2506
Phone
(800) 579-3783
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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 DDS108223 CA Primary

Addresses

Primary practice location

5261 Elkhorn Blvd
Sacramento, CA 95842-2506

Mailing address

PO Box Ad
Yuba City, CA 95992-1396
Phone (800) 313-0111

Other practice location 1

4941 Olivehurst Ave
Olivehurst, CA 95961-4225
Phone (530) 743-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240426003345 CA Practitioner - Dentist 1052751807 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108223CAMDClinical Social Worker
DDS108223CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health Current Accepting new patients
Ampla Health CurrentSince May 10, 2024 Accepting new patients
Ampla Health CurrentSince May 10, 2024 Accepting new patients

Locations

4941 Olivehurst Ave
Olivehurst, CA 95961
Phone (530) 743-4611

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: disha.kheni@ampla.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1760195341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "800-313-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 ELKHORN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422506",
            "telephone_number": "800-579-3783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4941 OLIVEHURST AVE",
            "address_purpose": "LOCATION",
            "city": "OLIVEHURST",
            "state": "CA",
            "postal_code": "959614225",
            "country_code": "US",
            "telephone_number": "530-743-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHENI",
        "first_name": "DISHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS108223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.