Active NPI
Unknown Shaveta Kumar
- General Practice Dentistry
- Sunnyvale, CA
National Provider Identifier
1134556004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 63002
- Practice address
- 396 Ano Nuevo Ave
Apt 216
Sunnyvale, CA 94085-4176 - Phone
- (408) 368-8371
- NPI assigned
- Oct 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 63002 | CA | Primary |
Addresses
Primary practice location
396 Ano Nuevo Ave
Apt 216
Sunnyvale, CA 94085-4176
Mailing address
1050 Quintana Way
Fremont, CA 94539-3652
Phone (408) 368-8371
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63002 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1134556004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 QUINTANA WAY",
"city": "FREMONT",
"state": "CA",
"postal_code": "945393652",
"telephone_number": "408-368-8371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 ANO NUEVO AVE",
"address_2": "APT 216",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854176",
"telephone_number": "408-368-8371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "UNKNOWN SHAVETA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-08",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "63002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.