Kyandukhta B Kalantari, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013605 Issued in GA

Practice address

1350 Wooten Lake Rd NW
Suite 203
Kennesaw, GA 30144-1344

Phone

(678) 275-2066

Fax

(678) 275-2074

NPI assigned

Jul 23, 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

Other identifiers 1

Other names 1

• Dr. Kyandukhta B Kalantari Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dentistry at Kennesaw Point

  • General Practice Dentistry
  • Kennesaw, GA
  • NPI 1003278904
  NPD (past) Authorized official
• Dentistry N Orthodontics Kennesaw Point at Lilburn

  • Dental Clinic/Center
  • Lilburn, GA
  • NPI 1043997430
  NPD (past) Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1780884221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW",
            "address_2": "SUITE 203",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441344",
            "telephone_number": "678-275-2066",
            "fax_number": "678-275-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WOOTEN LAKE RD NW",
            "address_2": "SUITE 203",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441344",
            "telephone_number": "678-275-2066",
            "fax_number": "678-275-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALANTARI",
        "first_name": "KYANDUKHTA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154041182L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYANDUKHTA",
            "last_name": "KALANTARI",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kaiser Foundation Health Plan of Georgia Inc
• Kaiser Foundation Health Plan of Georgia Inc.
• Kaiser Foundation Health Plan of Georgia, Inc.
• Kaiser Foundation Health Plan of Georgia, Inc.
• Tania Rani Kakar, PA-C
• Kaleidoscope Cognitive Learning Center LLC
• Amanda Kallas
• Sammy Kanso, MS, LAPC, NCC
• William Kapgan, DDS
• Sonal Kapoor, DMD

• General Practice Dentistry in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.