Organization Active NPI

Jigna Khetani DDS,Inc

  • Dentist
  • Santa Clara, CA
National Provider Identifier
1871959361
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61136 Issued in CA
Legal business name
JIGNA KHETANI DDS,INC
Practice address
2096 El Camino Real
Santa Clara, CA 95050-4055
Phone
(408) 674-4745
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Jigna Kashyap Khetani, DDS
Title
President
Phone
(408) 674-4745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 61136 CA Primary

Addresses

Primary practice location

2096 El Camino Real
Santa Clara, CA 95050-4055

Mailing address

2096 El Camino Real
Santa Clara, CA 95050-4055
Phone (408) 674-4745

National Provider Directory

National Provider Directory

Locations

2096 El Camino Real
Santa Clara, CA 95050
Phone (408) 674-4745

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1871959361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2096 EL CAMINO REAL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504055",
            "telephone_number": "408-674-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2096 EL CAMINO REAL",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504055",
            "telephone_number": "408-674-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIGNA KHETANI DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "KHETANI",
        "authorized_official_first_name": "JIGNA",
        "authorized_official_middle_name": "KASHYAP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-674-4745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "61136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.