Stephen Elan Kineret, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

25769 Issued in CA

Practice address

6819 Lonetree Blvd Ste 104
Rocklin, CA 95765-5877

Phone

(916) 772-5832

Fax

(916) 772-7586

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Stephen E. Kineret, DDS, Ms, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rocklin, CA
  • NPI 1134513518
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982754180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 LONETREE BLVD STE 104",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655877",
            "telephone_number": "916-772-5832",
            "fax_number": "916-772-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 LONETREE BLVD STE 104",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655877",
            "telephone_number": "916-772-5832",
            "fax_number": "916-772-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINERET",
        "first_name": "STEPHEN",
        "middle_name": "ELAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "25769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nicole Kiley, OTR/L
• Hee Sook Kim, OT
• Joshua Y Kim, PHARMD
• Yoonah Park Kim
• Katherine Elizabeth Kimball
• Kodell King
• Michelle Rene King, PPS-SC
• Sadie Kirchner
• Amanda Kirk
• Joshua Marques Kirkwood

• Orthodontics and Dentofacial Orthopedics Dentistry in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.