Organization Active NPI

Kella DDS Corp

Doing business as Sayva Dental

  • Dental Clinic/Center
  • Culver City, CA
National Provider Identifier
1871173278
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KELLA DDS CORP
Doing business as
Sayva Dental
Practice address
10811 Washington Blvd Ste 302
Culver City, CA 90232-3660
Phone
(310) 839-8033
NPI assigned
Apr 9, 2021
Last updated
Apr 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Gunjan Kella, DDSNPI 1154569077
Title
Owner
Phone
(917) 355-1359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

10811 Washington Blvd Ste 302
Culver City, CA 90232-3660

Mailing address

10811 Washington Blvd Ste 302
Culver City, CA 90232-3660
Phone (310) 839-8033

Other names 1

  • Sayva Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10811 Washington Blvd
Ste 302
Culver City, CA 90232
Phone (310) 839-8033

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1871173278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD STE 302",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323660",
            "telephone_number": "310-839-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD STE 302",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323660",
            "telephone_number": "310-839-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLA DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A",
        "authorized_official_last_name": "KELLA",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-355-1359",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sayva Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.