Individual provider Active NPI

Vidhya Devi Senthilathiban, BDS

  • General Practice Dentistry
  • Laguna Woods, CA
National Provider Identifier
1043842172
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
111471 Issued in CA
Practice address
24102 El Toro Rd Ste a
Laguna Woods, CA 92637-3123
Phone
(949) 528-6331
NPI assigned
Feb 6, 2020
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.032468 IL
General Practice Dentistry 1223G0001X 111471 CA Primary

Addresses

Primary practice location

24102 El Toro Rd Ste a
Laguna Woods, CA 92637-3123

Mailing address

33 Wheatberry
Irvine, CA 92618-2249
Phone (503) 664-6183

Other practice location 1

1264A N Lake St
Aurora, IL 60506-2453
Phone (630) 801-9028

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
111471CAMDGeneral Practice Dentistry
019.032468ILMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1043842172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WHEATBERRY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182249",
            "telephone_number": "503-664-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24102 EL TORO RD STE A",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926373123",
            "telephone_number": "949-528-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264A N Lake St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605062453",
            "country_code": "US",
            "telephone_number": "630-801-9028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENTHILATHIBAN",
        "first_name": "VIDHYA",
        "middle_name": "DEVI",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032468",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.