Individual provider Active NPI

Shibani Rajadhyksha, DDS

  • Dentist
  • Sunnyvale, CA
National Provider Identifier
1083022685
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
63742 Issued in CA
Practice address
681 Tasman Dr
Sunnyvale, CA 94089-1707
Phone
(408) 505-1777
NPI assigned
Jul 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 63742 CA Primary

Addresses

Primary practice location

681 Tasman Dr
Sunnyvale, CA 94089-1707

Mailing address

681 Tasman Dr
Sunnyvale, CA 94089-1707
Phone (408) 505-1777

Other practice location 1

12111 Alcosta Blvd
San Ramon, CA 94583-2637
Phone (415) 326-3604

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Admin@tridentsmilesdental.com Direct

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
63742CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shibani Rajadhyksha DDS Inc. PastSince Aug 18, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: admin@tridentsmilesdental.com

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": "1406419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1083022685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 TASMAN DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940891707",
            "telephone_number": "408-505-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 TASMAN DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940891707",
            "telephone_number": "408-505-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12111 Alcosta Blvd",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945832637",
            "country_code": "US",
            "telephone_number": "415-326-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAJADHYKSHA",
        "first_name": "SHIBANI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-27",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@tridentsmilesdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "681 Tasman Dr Apt 405",
            "city": "Sunnyvale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940891707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.