Individual provider Active NPI

Kim Denkhaus, MS, RD

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1902294283
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86055119 Issued in CA
Practice address
785 Market St
Suite 620
San Francisco, CA 94103-2003
Phone
(424) 234-3365
NPI assigned
Jan 8, 2015
Last updated
Jan 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT83507 TX
Registered Dietitian 133V00000X 86055119 CA Primary

Addresses

Primary practice location

785 Market St
Suite 620
San Francisco, CA 94103-2003

Mailing address

6300 Wilshire Blvd Ste 1490
Los Angeles, CA 90048-5212
Phone (424) 234-3365

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

LicenseStateTypeSpecialty
86055119CAMDRegistered Dietitian
DT83507TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1902294283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WILSHIRE BLVD STE 1490",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485212",
            "telephone_number": "424-234-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 MARKET ST",
            "address_2": "SUITE 620",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032003",
            "telephone_number": "424-234-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENKHAUS",
        "first_name": "KIM",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT83507",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86055119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.