Active NPI
Disha J Kheni, DDS
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1760195341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS108223
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108223 | CA | MD | Clinical Social Worker |
| DDS108223 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ampla Health | Current | Accepting new patients | |
| Ampla Health | Current | Accepting new patients | |
| Ampla Health | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Oroville, CA
- NPI 1952333635
-
- Federally Qualified Health Center (FQHC)
- Gridley, CA
- NPI 1639194004
-
- Federally Qualified Health Center (FQHC)
- Chico, CA
- NPI 1881613669
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.