Vijaya S Kiran DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VIJAYA S KIRAN DDS INC

Doing business as

Radiant Dental Center

Practice address

1721 Story Rd
San Jose, CA 95122-1922

Phone

(408) 929-9977

Fax

(408) 929-7999

NPI assigned

Apr 10, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Vijaya S Kiran, DDSNPI 1578621470

Title

President

Phone

(408) 406-3842

Specialties & licenses 1

Addresses

Other names 1

• Radiant Dental Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Vijaya Shashi Kiran, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1578621470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1770278442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 ARCHWOOD CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482614",
            "telephone_number": "408-406-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 STORY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221922",
            "telephone_number": "408-929-9977",
            "fax_number": "408-929-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA S KIRAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "KIRAN",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-406-3842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chanh Minh Viet, D.D.S.
• Vietnamese Voluntary Foundation, Inc. (Vivo)
• David Richard Vigil
• Lupy Vigil
• Eugene Dominguez Vigo
• Bharavi Brahmbhatt Vijayakumar, NP
• Darshini Vijayakumar
• Silvia Rosas Vijil
• Ksenia Vikulova, M.A., CCC-SLP
• Vila Victoria Inc.

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.