Individual provider Active NPI

Ronen Kalai, D.D.S.

  • Pediatric Dentistry
  • Huntington Park, CA
National Provider Identifier
1992111223
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
103594 Issued in CA
Practice address
2915 E Florence Ave
Huntington Park, CA 90255-5825
Phone
(323) 589-3333
NPI assigned
Jul 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057304 NY
Pediatric Dentistry 1223P0221X 057304 NY
Pediatric Dentistry 1223P0221X 103594 CA Primary

Addresses

Primary practice location

2915 E Florence Ave
Huntington Park, CA 90255-5825

Mailing address

2915 E Florence Ave
Huntington Park, CA 90255-5825
Phone (323) 589-3333

Other practice location 1

29 Orchard St Apt 4A
New York, NY 10002
Phone (201) 455-7344

Other practice location 2

29 Orchard St Apt 4A
New York, NY 10002
Phone (201) 455-7344

Other practice location 3

29 Orchard St Apt 4A
New York, NY 10002
Phone (201) 455-7344

Other practice location 4

29 Orchard St Apt 4A
New York, NY 10002
Phone (201) 455-7344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
103594CAMDPediatric Dentist
057304NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronen Kalai DDS Inc Pediatric Dentistry Current Accepting new patients
Kalai S Sadighim Dental Corporation Dentist PastSince Nov 8, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992111223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555825",
            "telephone_number": "323-589-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555825",
            "telephone_number": "323-589-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Orchard St Apt 4A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10002",
            "country_code": "US",
            "telephone_number": "201-455-7344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Orchard St Apt 4A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10002",
            "country_code": "US",
            "telephone_number": "201-455-7344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Orchard St Apt 4A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10002",
            "country_code": "US",
            "telephone_number": "201-455-7344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Orchard St Apt 4A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10002",
            "country_code": "US",
            "telephone_number": "201-455-7344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALAI",
        "first_name": "RONEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057304",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "057304",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "103594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.