Active NPI
Neelima P Naidu, D.D.S
- Dentist
- San Jose, CA
National Provider Identifier
1093933822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 53974
- Practice address
- 704 Blossom Hill Rd
Suite 100
San Jose, CA 95123-5403 - Phone
- (408) 332-2872
- NPI assigned
- Apr 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53974 | CA | Primary |
Addresses
Primary practice location
704 Blossom Hill Rd
Suite 100
San Jose, CA 95123-5403
Mailing address
6220 Running Springs Rd
San Jose, CA 95135-2211
Phone (408) 978-4920
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 |
|---|---|---|---|
| 53974 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1093933822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6220 RUNNING SPRINGS RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951352211",
"telephone_number": "408-978-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 BLOSSOM HILL RD",
"address_2": "SUITE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951235403",
"telephone_number": "408-332-2872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIDU",
"first_name": "NEELIMA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "53974",
"primary": true
}
],
"identifiers": [],
"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 Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.