IndividualActive
Kaely Kantaris
NPI 1104225994 · Dentist · San Diego, CA
Kaely Kantaris is a Dentist provider in San Diego, CA (NPI 1104225994).
Provider details
- NPI number
- 1104225994
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1000988-15 (WI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4435 Eastgate Mall #125
San Diego, CA 92121-5191
Phone: (858) 546-7667
Street-level locationGet directions
Mailing address
4565 48th Street
San Diego, CA 92115
Registry dates
- Enumerated
- 2014-08-18
- Last updated
- 2023-05-07
- Certified
- 2023-05-07
Frequently asked questions
- What is Kaely Kantaris's NPI number?
- Kaely Kantaris's National Provider Identifier (NPI) is 1104225994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaely Kantaris's specialty?
- Kaely Kantaris is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Kaely Kantaris located?
- Kaely Kantaris's practice location on file with NPPES is 4435 Eastgate Mall #125, San Diego, CA 92121-5191.
- What is Kaely Kantaris's phone number?
- The practice phone number listed in the NPPES registry for Kaely Kantaris is (858) 546-7667.
- Is Kaely Kantaris's NPI active?
- Yes — Kaely Kantaris's NPI (1104225994) is active in the NPPES registry as of the last update on 2023-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.