Active NPI
Chaya R Kamath, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Jose, CA
National Provider Identifier
1154635373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 62474
- Practice address
- 2390 Senter Rd
Suite 107
San Jose, CA 95112-2616 - Phone
- (408) 306-7420
- NPI assigned
- Jul 29, 2010
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 62474 | CA | Primary |
Addresses
Primary practice location
2390 Senter Rd
Suite 107
San Jose, CA 95112-2616
Mailing address
3680 Beacon Avenue
Suite 224
Fremont, CA 94538
Phone (443) 690-9878
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 |
|---|---|---|---|
| 62474 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1154635373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3680 BEACON AVENUE",
"address_2": "SUITE 224",
"city": "FREMONT",
"state": "CA",
"postal_code": "94538",
"telephone_number": "443-690-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 SENTER RD",
"address_2": "SUITE 107",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951122616",
"telephone_number": "408-306-7420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMATH",
"first_name": "CHAYA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-29",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "62474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.