K Kohani D D S a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39290 Issued in CA

Legal business name

K KOHANI D D S A PROFESSIONAL CORPORATION

Practice address

4510 Executive Dr
Suite 205
San Diego, CA 92121-3021

Phone

(858) 622-1007

Fax

(858) 622-1058

NPI assigned

Sep 24, 2014

Last updated

May 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kami Kohani, DDS

Title

Owner

Phone

(858) 622-1007

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Costa Verde Dentistry & Orthodonic Other name

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.

• Cameron Alexander Kohani, DDS

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1356173447
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1932501640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-622-1007",
            "fax_number": "858-622-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213021",
            "telephone_number": "858-622-1007",
            "fax_number": "858-622-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K KOHANI D D S A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "KOHANI",
        "authorized_official_first_name": "KAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18586221007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1972710663",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Costa Verde Dentistry & Orthodonic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Henri Justino, M.D.
• Sharlene Justo
• Juvenile Forensic Hillcrest House
• K & C Premier Care LLC
• K & L Research LLC
• K. Ardjmand, D.D.S., Inc. (modern dentistry)
• K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation (HealthPRO Pediatrics)
• Martha Kaas-Hartmann, RN
• Massara Kababchy
• Julia Kabacka, MEDICAL STUDENT

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 May 26, 2015; 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.