Archana V Wakode, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47205 Issued in CA

Practice address

821 Jefferson Blvd Ste 260
West Sacramento, CA 95691-3205

Phone

(916) 427-6263

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: awakode@direct.westerndental.com

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.

• Archana Wakode, DDS, Inc

  • General Practice Dentistry
  • West Sacramento, CA
  • NPI 1114411659
  NPD Authorized official
• Charles C. Tran, DDS

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1174680268
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1124247085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 MAYBROOK DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351500",
            "telephone_number": "916-419-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 JEFFERSON BLVD STE 260",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913205",
            "telephone_number": "916-427-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKODE",
        "first_name": "ARCHANA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayne Vivar
• Lisa Vlachakis
• Tuan Anh Vo, PHARM.D.
• James Patrick Vosburg, LMFT
• Suzy Rattaro Wahlborg, RN344470
• Wal-Mart Stores, Inc. Dba Wal-Mart
• Walgreen Co
• Lauren Borella Walker
• Deborah Wallace
• Walmart Inc.

• General Practice Dentistry in West Sacramento, CA
• Providers in West Sacramento, 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 May 7, 2020; 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.