Active NPI
Gail Ann Krishnan, D.D.S., M.S.
- General Practice Dentistry
- Brea, CA
National Provider Identifier
1861709412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS65262
- Practice address
- 255 W Central Ave Ste 201
Brea, CA 92821-3373 - Phone
- (714) 990-0204
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901020174 | MI | |
| General Practice Dentistry | 1223G0001X | DDS65262 | CA | Primary |
Addresses
Primary practice location
255 W Central Ave Ste 201
Brea, CA 92821-3373
Mailing address
255 W Central Ave Ste 201
Brea, CA 92821-3373
Phone (714) 990-0204
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS65262 | CA | MD | General Practice Dentistry |
| 2901020174 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gail Ann Krishnan DDS Ms Dental Corp | 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.
-
- Dentist
- Brea, CA
- NPI 1063947232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1861709412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W CENTRAL AVE STE 201",
"city": "BREA",
"state": "CA",
"postal_code": "928213373",
"telephone_number": "714-990-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W CENTRAL AVE STE 201",
"city": "BREA",
"state": "CA",
"postal_code": "928213373",
"telephone_number": "714-990-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISHNAN",
"first_name": "GAIL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901020174",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS65262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.