Ketki Nichal, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

101170 Issued in CA

Practice address

31754 Temecula Pkwy
Temecula, CA 92592-6814

Phone

(951) 694-5255

NPI assigned

Feb 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aldaz and Watanabe Dental Corporation

  • Dentist
  • Temecula, CA
  • NPI 1265527196
  NPD (past)

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1912445016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 W 9TH AVE APT 1200",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292216",
            "telephone_number": "858-228-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31754 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926814",
            "telephone_number": "951-694-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHAL",
        "first_name": "KETKI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quoc Nguyen, MD
• Quynh-Anh Minh Nguyen, PHARM.D.
• Shannon Nguyen
• Tu Uyen Huu Nguyen, OD
• Vanessa Tiffany Nguyen, FNP
• Nichols Speech and Language Services
• Nichols Speech Pathology and Therapy Services, Inc.
• Jamie A Nichols, M.S. SLP-CCC
• Megan Siera Nichols
• Rubin Nichols, DDS

• Dentist in Temecula, CA
• Providers in Temecula, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.