Active NPI
Soumava Sen, DDS
- Dentist
- Irvine, CA
National Provider Identifier
1013077536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40883
- Practice address
- 10 Tennessee
Irvine, CA 92606-1751 - Phone
- (949) 653-5861
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27509 | TX | |
| Dentist | 122300000X | 40883 | CA | Primary |
Addresses
Primary practice location
10 Tennessee
Irvine, CA 92606-1751
Mailing address
10 Tennessee
Irvine, CA 92606-1751
Phone (949) 653-5861
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UMA8SEN | Other | CA | DAUGHTER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27509 | TX | MD | Dentist |
Networks
- TX HMO D-SNP
- NM HMO C-SNP
Interoperability endpoints
- ssen@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1013077536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TENNESSEE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061751",
"telephone_number": "949-653-5861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TENNESSEE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061751",
"telephone_number": "949-653-5861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEN",
"first_name": "SOUMAVA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27509",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40883",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAUGHTER",
"identifier": "UMA8SEN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.