Active NPI
Soujanya Sudanagunta, DDS
- General Practice Dentistry
- Dublin, CA
National Provider Identifier
1144351479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55712
- Practice address
- 7044 Dublin Blvd
Dublin, CA 94568-3017 - Phone
- (925) 556-6267
- Fax
- (925) 556-6123
- NPI assigned
- Mar 8, 2007
- Last updated
- Nov 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 55712 | CA | Primary |
Addresses
Primary practice location
7044 Dublin Blvd
Dublin, CA 94568-3017
Mailing address
7044 Dublin Blvd
Dublin, CA 94568-3017
Phone (925) 556-6267
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 |
|---|---|---|---|
| 55712 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1144351479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7044 DUBLIN BLVD",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683017",
"telephone_number": "925-556-6267",
"fax_number": "925-556-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7044 DUBLIN BLVD",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683017",
"telephone_number": "925-556-6267",
"fax_number": "925-556-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUDANAGUNTA",
"first_name": "SOUJANYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.