NPIMap

Organization Active NPI

K Tej Dental Inc

Doing business as Good Vibes Family Dentistry

  • General Practice Dentistry
  • La Mesa, CA
National Provider Identifier
1770345282
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K TEJ DENTAL INC
Doing business as
Good Vibes Family Dentistry
Practice address
3855 Avocado Blvd Ste 260
La Mesa, CA 91941-8523
Phone
(619) 670-1706
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Dr. Karantej Kohli, DMDNPI 1295353654
Title
Owner
Phone
(619) 670-1706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3855 Avocado Blvd Ste 260
La Mesa, CA 91941-8523

Mailing address

3855 Avocado Blvd
Suite# 260
La Mesa, CA 91941
Phone (619) 670-1706

Other names 1

  • Good Vibes Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3855 Avocado Blvd
Ste 260
La Mesa, CA 91941
Phone (619) 670-1706

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1770345282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 AVOCADO BLVD",
            "address_2": "SUITE# 260",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91941",
            "telephone_number": "619-670-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 AVOCADO BLVD STE 260",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919418523",
            "telephone_number": "619-670-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K TEJ DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "KARANTEJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-670-1706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Vibes Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.