Individual provider Active NPI

Linga Murthy Vuppala, D.D.S

  • Dentist
  • Santa Cruz, CA
National Provider Identifier
1114095114
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
51000 Issued in CA
Practice address
1107 Ocean St
Santa Cruz, CA 95060-2818
Phone
(831) 600-3260
Fax
(831) 466-9483
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 51000 CA Primary

Addresses

Primary practice location

1107 Ocean St
Santa Cruz, CA 95060-2818

Mailing address

792 Batista Dr
San Jose, CA 95136-4850
Phone (408) 667-5566

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
51000CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Dental Services, Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1114095114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 BATISTA DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951364850",
            "telephone_number": "408-667-5566",
            "fax_number": "831-466-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 OCEAN ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602818",
            "telephone_number": "831-600-3260",
            "fax_number": "831-466-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUPPALA",
        "first_name": "LINGA",
        "middle_name": "MURTHY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "51000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.