Amruta Tryambak Sardeshpande

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS111667 Issued in CA

Practice address

1326 The Alameda Apt 161
San Jose, CA 95126-2686

Phone

(669) 649-0136

NPI assigned

Dec 27, 2025

Last updated

Dec 27, 2025By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1043176746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 THE ALAMEDA APT 161",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262686",
            "telephone_number": "669-649-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 THE ALAMEDA APT 161",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262686",
            "telephone_number": "669-649-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARDESHPANDE",
        "first_name": "AMRUTA TRYAMBAK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS111667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; 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.