Shradha Bharadia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106639 Issued in CA

Practice address

Fallon Dental Group
3746 Fallon Rd
Dublin, CA 94568-9456

Phone

(669) 294-6562

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1114690518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 DUBLIN BLVD APT 416",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684412",
            "telephone_number": "669-294-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FALLON DENTAL GROUP",
            "address_2": "3746 FALLON RD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945689456",
            "telephone_number": "669-294-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARADIA",
        "first_name": "SHRADHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George S Besser, D.O.
• Lindsey Bettisworth, PA-C
• Olayemi Elizabeth Bewaji
• Roheeni Abhijeet Bhagat, BHAMS
• Jasdeep K Bhangu
• Ritu Bhardwaj
• Aditya Bhargava, M.D.
• Deval Bhatt, M.D.
• Bardan Bhatta
• Sai Santosh Kumar Bhuvanagiri, M.D.

• General Practice Dentistry in Dublin, CA
• Providers in Dublin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.