Organization Active NPI

Sowjanya Srikantam DDS Inc

Doing business as pleasanton smile dental

  • General Practice Dentistry
  • Pleasanton, CA
National Provider Identifier
1174817753
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50377 Issued in CA
Legal business name
SOWJANYA SRIKANTAM DDS INC
Doing business as
pleasanton smile dental
Practice address
2324 Santa Rita Rd
Suite 1a
Pleasanton, CA 94566-4152
Phone
(925) 249-1130
NPI assigned
Jun 1, 2011
Last updated
Jun 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Authorized official

Name
Dr. Sowjanya Srikantam, BDSNPI 1780772954
Title
Ceo
Phone
(510) 790-1814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 50377 CA Primary

Addresses

Primary practice location

2324 Santa Rita Rd
Suite 1a
Pleasanton, CA 94566-4152

Mailing address

2324 Santa Rita Rd
Suite 1a
Pleasanton, CA 94566-4152
Phone (925) 249-1130

Other names 1

  • pleasanton smile dental Doing business as

National Provider Directory

National Provider Directory

Locations

2324 Santa Rita Rd
Ste 1A
Pleasanton, CA 94566
Phone (925) 249-1130

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306886400000",
    "number": "1174817753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "address_2": "SUITE 1A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-249-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "address_2": "SUITE 1A",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-249-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOWJANYA SRIKANTAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A",
        "authorized_official_last_name": "SRIKANTAM",
        "authorized_official_first_name": "SOWJANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-790-1814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pleasanton smile dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.