Active NPI
Radhika Atla
- General Practice Dentistry
- Cupertino, CA
National Provider Identifier
1194917609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 55365
- Practice address
- 10387 Somerset CT
Cupertino, CA 95014-3114 - Phone
- (408) 420-1762
- NPI assigned
- Aug 17, 2007
- Last updated
- Aug 17, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55365 | CA | Primary |
Addresses
Primary practice location
10387 Somerset CT
Cupertino, CA 95014-3114
Mailing address
10387 Somerset CT
Cupertino, CA 95014-3114
Phone (408) 420-1762
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 |
|---|---|---|---|
| 55365 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187308800000",
"number": "1194917609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10387 SOMERSET CT",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143114",
"telephone_number": "408-420-1762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10387 SOMERSET CT",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143114",
"telephone_number": "408-420-1762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATLA",
"first_name": "RADHIKA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2007-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "55365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
- Melissa J Aranda, D.C.
- Arnel T. Lee, DDS and Gary H. Lum, DDS, PC (Central Park Dental Group)
- Aline Alfonso Arredondo
- Corie Ascani, PSY.D.
- Asian Ancient Acupuncture & Wellness Center
- Atlas Health Inc
- Atlas Physical Therapy Inc.
- Auer Integrative Health an Auer Chiropractic Corporation
- Daniel Auer, D.C.
- Karla Itzel Aviles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.