Individual provider Active NPI

Nimisha Nidgundi, D.D.S

  • Dentist
  • San Jose, CA
National Provider Identifier
1073898144
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58682 Issued in CA
Practice address
3030 Alum Rock Ave
San Jose, CA 95127-2807
Phone
(408) 234-0162
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 58682 CA Primary

Addresses

Primary practice location

3030 Alum Rock Ave
San Jose, CA 95127-2807

Mailing address

3575 Lehigh Dr Apt 24
Santa Clara, CA 95051-6075
Phone (408) 234-0162

Other identifiers 1

IdentifierTypeStateIssuer
58682OtherCAPPO

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
58682CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nimisha Nidgundi DDS Inc. Dentist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nnidgundi578459@direct.ochin.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1073898144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 LEHIGH DR APT 24",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516075",
            "telephone_number": "408-234-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ALUM ROCK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951272807",
            "telephone_number": "408-234-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDGUNDI",
        "first_name": "NIMISHA",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "58682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "58682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.