VIJAYA S KIRAN DDS INC
NPI 1770278442
Dentist - General Practice in San Jose, CA

Active since April 10, 2023
1721 STORY RD, SAN JOSE, CA 95122(408) 929-9977(408) 929-7999 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vijaya S Kiran Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAYA S KIRAN DDS INC (NPI 1770278442), doing business as Radiant Dental Center, is a healthcare organization registered as a general practice in San Jose, California and active in the NPI registry since April 2023. The organization lists Vijaya S Kiran, President, as its authorized official.

NPPES Registry Identity

NPI1770278442
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVIJAYA S KIRAN DDS INC
Location Address1721 STORY RDSan Jose, CA 95122-1922
Mailing Address2958 Archwood CirSan Jose, CA 95148-2614 · (408) 406-3842
Fax(408) 929-7999
Organization SubpartNo
Authorized OfficialVijaya S KiranPresident · (408) 406-3842
Enumeration DateApril 10, 2023
NPPES CertifiedApril 8, 2023
✔ NPI 1770278442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1721 STORY RD, San Jose, CA 95122

Other Names 1

Doing Business AsRadiant Dental Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vijaya S Kiran Dds Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vijaya S Kiran DDS Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dentist
NPI 1578621470
1721 STORY RD
San Jose, CA 95122
(408) 406-3842
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vijaya S Kiran Dds Inc's NPI number?

The NPI number for Vijaya S Kiran Dds Inc is 1770278442. It was assigned to this organization in the NPPES registry on April 10, 2023. The provider is doing business as Radiant Dental Center.

Where is Vijaya S Kiran Dds Inc located?

Vijaya S Kiran Dds Inc is located at 1721 Story Rd, San Jose, CA 95122. The listed phone number is (408) 929-9977.

What is Vijaya S Kiran Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Vijaya S Kiran Dds Inc enrolled in Medicare?

Yes. Vijaya S Kiran Dds Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vijaya S Kiran Dds Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Vijaya S Kiran Dds Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vijaya S Kiran Dds Inc was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.