Individual provider Active NPI

Kim Lang Khauv, DDS

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1811905896
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
42925 Issued in CA
Practice address
750 N Capitol Ave
B5
San Jose, CA 95133
Phone
(408) 926-8446
Fax
(408) 926-8001
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 42925 CA Primary

Addresses

Primary practice location

750 N Capitol Ave
B5
San Jose, CA 95133

Mailing address

750 N Capitol Ave
B5
San Jose, CA 95133
Phone (408) 926-8446

Other identifiers 1

IdentifierTypeStateIssuer
B4292501OtherCADENTICAL

Other names 1

  • Kim Lang Khauv Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Khauv DDS Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811905896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE",
            "address_2": "B5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95133",
            "telephone_number": "408-926-8446",
            "fax_number": "408-926-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE",
            "address_2": "B5",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95133",
            "telephone_number": "408-926-8446",
            "fax_number": "408-926-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAUV",
        "first_name": "KIM",
        "middle_name": "LANG",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B4292501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "KHAUV",
            "middle_name": "LANG",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.