Sumathi Chandrashekhar,DMD,a Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

56055 Issued in CA

Legal business name

SUMATHI CHANDRASHEKHAR,DMD,A PROFESSIONAL CORPORATION

Practice address

18523 Corwin Rd Ste C
Apple Valley, CA 92307-2300

Phone

(760) 884-3764

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Sumathi Chandrashekhar, DMD

Title

Ceo

Phone

(760) 628-5664

Specialties & licenses 1

Addresses

Other names 1

• Radiant Smiles Family Dental Doing business as

Locations

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1114220902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072300",
            "telephone_number": "760-884-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD STE C",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072300",
            "telephone_number": "760-884-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMATHI CHANDRASHEKHAR,DMD,A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "CHANDRASHEKHAR",
        "authorized_official_first_name": "SUMATHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-628-5664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "56055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiant Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sunrise Healthcare
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• Dentist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.

Verify at the official NPI Registry.