Individual provider Active NPI

Suparna R. Ashrani, DDS.

  • Dentist
  • San Jose, CA
National Provider Identifier
1205234887
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
44822 Issued in CA
Practice address
7174 Santa Teresa Blvd.,
St-a-4
San Jose, CA 95139
Phone
(408) 225-2201
Fax
(408) 225-2206
NPI assigned
Dec 12, 2014
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 44822 CA Primary

Addresses

Primary practice location

7174 Santa Teresa Blvd.,
St-a-4
San Jose, CA 95139

Mailing address

7174 Santa Teresa Blvd.,
St-a-4
San Jose, CA 95139
Phone (408) 225-2201

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

LicenseStateTypeSpecialty
44822CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Organizations & group practices 1

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1205234887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7174 SANTA TERESA BLVD.,",
            "address_2": "ST-A-4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95139",
            "telephone_number": "408-225-2201",
            "fax_number": "408-225-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7174 SANTA TERESA BLVD.,",
            "address_2": "ST-A-4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95139",
            "telephone_number": "408-225-2201",
            "fax_number": "408-225-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHRANI",
        "first_name": "SUPARNA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44822",
            "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 Dec 12, 2014; 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.