Kohli DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49124 Issued in CA

Legal business name

KOHLI DDS INC

Practice address

16177 Hesperian Blvd
San Lorenzo, CA 94580-2451

Phone

(510) 276-6930

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Gagandeep KohliNPI 1902963051

Title

President

Phone

(510) 276-6930

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gagandeep Singh Kohli, D.D.S.

  • Dentist
  • San Lorenzo, CA
  • NPI 1902963051
  NPD (past) Authorized official
• J R Aboud, DDS

  • General Practice Dentistry
  • San Lorenzo, CA
  • NPI 1801929039
  NPD (past)

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1891103214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16177 HESPERIAN BLVD",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945802451",
            "telephone_number": "510-276-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16177 HESPERIAN BLVD",
            "city": "SAN LORENZO",
            "state": "CA",
            "postal_code": "945802451",
            "telephone_number": "510-276-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "GAGANDEEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-276-6930"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902963051",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akanksha Kalia
• Kazi, Inc.
• Shital Kazi, D.D.S.
• Sandy Lynn Kientzler, CD(DONA)
• Sierra Kindel
• Gagandeep Singh Kohli, D.D.S.
• La Clinica de la Raza, Inc.
• Harjindar K Lally, MSW
• Albert Lam, DMD
• Lai Fong Leung

• General Practice Dentistry in San Lorenzo, CA
• Providers in San Lorenzo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.