Kallaya Wangpichit, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

50016 Issued in CA

Practice address

11700 South St
Suite 202
Artesia, CA 90701-6611

Phone

(562) 924-5437

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wangpichit and Kim Professional Dental Corporation

  dba Kids Smile Pediatric Dentistry

  • Pediatric Dentistry
  • Artesia, CA
  • NPI 1356537070
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189987200000",
    "number": "1770706558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST",
            "address_2": "SUITE 202",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016611",
            "telephone_number": "562-924-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 SOUTH ST",
            "address_2": "SUITE 202",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907016611",
            "telephone_number": "562-924-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGPICHIT",
        "first_name": "KALLAYA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "50016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walk in Medical Care (Kailash R Dhamija MD Inc)
• Hong Wang, LAC
• Pean-Yuan Wang, M.D.
• Ting Lin Wang, RN, ACNP, GNP
• Wangpichit and Kim Professional Dental Corporation (Kids Smile Pediatric Dentistry)
• Rene Weismantel
• Welcome Pharmacy Inc (Welcome Pharmacy)
• Wellness Check LLC (Bioanalysis Diagnostic Laboratories)
• Patrick Albert Weston
• Vijitha Kumari Wijegunawardene, BA

• Pediatric Dentistry in Artesia, CA
• Providers in Artesia, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; 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.

Verify at the official NPI Registry.