Organization Active NPI

Kalra Dental Corporation

  • General Practice Dentistry
  • Apple Valley, CA
National Provider Identifier
1972902518
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54268 Issued in CA
Legal business name
KALRA DENTAL CORPORATION
Practice address
18805 Bear Valley Rd Ste 4
Apple Valley, CA 92308-2728
Phone
(760) 961-7001
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Amit Kalra, D.D.S.
Title
President
Phone
(951) 217-5027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 54268 CA Primary

Addresses

Primary practice location

18805 Bear Valley Rd Ste 4
Apple Valley, CA 92308-2728

Mailing address

18805 Bear Valley Rd Ste 4
Apple Valley, CA 92308-2728

Other names 1

  • Jess Ranch Dental Doing business as

National Provider Directory

National Provider Directory

Locations

18805 Bear Valley Rd
Ste 4
Apple Valley, CA 92308
Phone (760) 961-7001

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1972902518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18805 BEAR VALLEY RD STE 4",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923082728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18805 BEAR VALLEY RD STE 4",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923082728",
            "telephone_number": "760-961-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALRA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "KALRA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-217-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jess Ranch Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.