Individual provider Active NPI

Sobha R Atani, DDS

  • General Practice Dentistry
  • Monterey, CA
National Provider Identifier
1164639555
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48224 Issued in CA
Practice address
831 Cass St
Monterey, CA 93940-2904
Phone
(831) 373-1279
Fax
(831) 373-1270
NPI assigned
May 17, 2007
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 48224 CA Primary

Addresses

Primary practice location

831 Cass St
Monterey, CA 93940-2904

Mailing address

831 Cass St
Monterey, CA 93940-2904
Phone (831) 373-1279

Other identifiers 1

IdentifierTypeStateIssuer
D48224OtherCADENTI-CAL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sobha Atani DDS a Professional Corporation CurrentSince May 28, 2023 Accepting new patients
Chona Pua,DDS, Inc. General Practice Past Accepting new patients
Derek Barnes, DDS, Inc. Dentist PastSince May 28, 2023 Accepting new patients

Locations

831 Cass St
Monterey, CA 93940
Phone (831) 373-1279

Interoperability endpoints

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1164639555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402904",
            "telephone_number": "831-373-1279",
            "fax_number": "831-373-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 CASS ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402904",
            "telephone_number": "831-373-1279",
            "fax_number": "831-373-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANI",
        "first_name": "SOBHA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D48224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.