Daniel D Kohanchi, DDS

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

103859 Issued in CA

Practice address

5669 Sloan PL
Calabasas, CA 91302-3159

Phone

(818) 621-8317

NPI assigned

May 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encino Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Encino, CA
  • NPI 1316342579
  NPD (past)

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662249600000",
    "number": "1841858420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 SLOAN PL",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023159",
            "telephone_number": "818-621-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 SLOAN PL",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023159",
            "telephone_number": "818-621-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHANCHI",
        "first_name": "DANIEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-09-04",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "103859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KM Network Inc (Courtyard Pharmacy)
• Lisa Knakal, MFT
• Martin Howard Kodish, MFT
• Ralph Jan Koek, M.D.
• Evelyn Gail Kohan, PH.D.
• Eliana Kohanzad
• Jana Kohnert, COTA
• Marin L Kokin, L.AC.
• Jacqueline Kolchins, LCSW
• Kolchins/Thomas Infant Development Services, Inc.

• Dental Anesthesiology in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Dental Anesthesiology in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2022; 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.