Individual provider Active NPI

Venkata Ratna Sushuma Kollata, DDS

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1134078520
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS111604 Issued in CA
Practice address
5150 Calle del Sol Apt 701
Santa Clara, CA 95054-1096
Phone
(408) 234-9446
NPI assigned
Jan 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS111604 CA Primary

Addresses

Primary practice location

5150 Calle del Sol Apt 701
Santa Clara, CA 95054-1096

Mailing address

5150 Calle del Sol Apt 701
Santa Clara, CA 95054-1096
Phone (408) 234-9446

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
DDS111604CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1134078520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 CALLE DEL SOL APT 701",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541096",
            "telephone_number": "408-234-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CALLE DEL SOL APT 701",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541096",
            "telephone_number": "408-234-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLATA",
        "first_name": "VENKATA RATNA SUSHUMA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS111604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.