Individual provider Active NPI

Kaveh M Kanani, DDS

  • General Practice Dentistry
  • Tarzana, CA
National Provider Identifier
1851453518
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48128 Issued in CA
Practice address
19634 Ventura Blvd Ste 100
Tarzana, CA 91356-6024
Phone
(818) 999-4445
Fax
(818) 999-4233
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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 48128 CA Primary

Addresses

Primary practice location

19634 Ventura Blvd Ste 100
Tarzana, CA 91356-6024

Mailing address

19634 Ventura Blvd Ste 100
Tarzana, CA 91356-6024
Phone (818) 999-4445

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

State licenses

LicenseStateTypeSpecialty
48128CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Kanani Dental Corporation Current Accepting new patients
Kaveh Kanani DDS Inc CurrentSince Nov 28, 2021 Accepting new patients

Locations

19634 Ventura Blvd
Ste 100
Tarzana, CA 91356
Phone (818) 999-4445

22030 Clarendon St
Ste 102
Woodland Hls, CA 91367

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1851453518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566024",
            "telephone_number": "818-999-4445",
            "fax_number": "818-999-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566024",
            "telephone_number": "818-999-4445",
            "fax_number": "818-999-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANANI",
        "first_name": "KAVEH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.