Individual provider Active NPI

Aparna Borole, DDS

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1215262712
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58998 Issued in CA
Practice address
39572 Stevenson PL Ste 227
Fremont, CA 94539-3113
Phone
(512) 422-0583
NPI assigned
Oct 16, 2009
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24771 TX
General Practice Dentistry 1223G0001X 58998 CA Primary

Addresses

Primary practice location

39572 Stevenson PL Ste 227
Fremont, CA 94539-3113

Mailing address

39572 Stevenson PL Ste 227
Fremont, CA 94539-3113
Phone (512) 422-0583

Other practice location 1

7434 Louis Pasteur Dr
Suite 234
San Antonio, TX 78229-4538
Phone (210) 617-4446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803002286 CA Order and Referring Only - DentistPractitioner - Dentist 5698089787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24771TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aparna Borole DDS, Inc. CurrentSince Aug 6, 2019 Accepting new patients

Locations

39572 Stevenson Pl
Ste 227
Fremont, CA 94539
Phone (510) 790-0590

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": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1215262712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 227",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393113",
            "telephone_number": "512-422-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 227",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393113",
            "telephone_number": "512-422-0583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7434 Louis Pasteur Dr",
            "address_2": "Suite 234",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294538",
            "country_code": "US",
            "telephone_number": "210-617-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOROLE",
        "first_name": "APARNA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24771",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.