Organization Active NPI

Kanak Trivedi Advanced Dentistry,, Professional Corporation

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1942168034
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KANAK TRIVEDI ADVANCED DENTISTRY,, PROFESSIONAL CORPORATION
Practice address
1235 N Harbor Blvd Ste 100
Fullerton, CA 92832-1323
Phone
(714) 525-2888
NPI assigned
Jan 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Dr. Kanak Trivedi, DDSNPI 1033525654
Title
Dental Director
Phone
(408) 476-2097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1235 N Harbor Blvd Ste 100
Fullerton, CA 92832-1323

Mailing address

1235 N Harbor Blvd Ste 100
Fullerton, CA 92832-1323
Phone (714) 525-2888

National Provider Directory

National Provider Directory

Locations

1235 N Harbor Blvd
Ste 100
Fullerton, CA 92832
Phone (714) 525-2888

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1942168034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 N HARBOR BLVD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321323",
            "telephone_number": "714-525-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 N HARBOR BLVD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321323",
            "telephone_number": "714-525-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAK TRIVEDI ADVANCED DENTISTRY,, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "KANAK",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "408-476-2097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.