Active NPI
Ujjwala Dorlikar, DDS
- Dentist
- San Jose, CA
National Provider Identifier
1083756944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 54865
- Practice address
- 3151 S White Rd Ste 204
San Jose, CA 95148-4045 - Phone
- (408) 270-1120
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | CA54865 | CA | |
| Dentist | 122300000X | 54865 | CA | Primary |
Addresses
Primary practice location
3151 S White Rd Ste 204
San Jose, CA 95148-4045
Mailing address
3230 Stimson Way
San Jose, CA 95135-1132
Phone (408) 455-3788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D54865 | Medicaid | CA |
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 |
|---|---|---|---|
| 54865 | CA | MD | Dentist |
| CA54865 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ujjwala Dorlikar DDS Inc | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1649767385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1083756944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3230 STIMSON WAY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951351132",
"telephone_number": "408-455-3788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 S WHITE RD STE 204",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951484045",
"telephone_number": "408-270-1120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORLIKAR",
"first_name": "UJJWALA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "CA54865",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "54865",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D54865",
"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 Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.