Active NPI
Shruti Kanda
- Dentist
- Livermore, CA
National Provider Identifier
1184414328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS111624
- Practice address
- 747 Cottonwood CT
Livermore, CA 94551-3962 - Phone
- (714) 829-6482
- NPI assigned
- May 9, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS111624 | CA | Primary |
Addresses
Primary practice location
747 Cottonwood CT
Livermore, CA 94551-3962
Mailing address
747 Cottonwood CT
Livermore, CA 94551-3962
Phone (714) 829-6482
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 |
|---|---|---|---|
| DDS111624 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1184414328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 COTTONWOOD CT",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945513962",
"telephone_number": "714-829-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 COTTONWOOD CT",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945513962",
"telephone_number": "714-829-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDA",
"first_name": "SHRUTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-09",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS111624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.