NPIMap

Organization Active NPI

Sanjay Kumar Vanjarapu DDS PC

Doing business as Smile Designs Dentistry

  • Dentist
  • Manteca, CA
National Provider Identifier
1215389069
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55771 Issued in CA
Legal business name
SANJAY KUMAR VANJARAPU DDS PC
Doing business as
Smile Designs Dentistry
Practice address
295 Spreckels Ave
Manteca, CA 95336-6005
Phone
(209) 780-4777
Fax
(209) 780-4498
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Authorized official

Name
Sanjay Kumar Vanjarapu
Title
President
Phone
(209) 780-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 55771 CA Primary

Addresses

Primary practice location

295 Spreckels Ave
Manteca, CA 95336-6005

Mailing address

295 Spreckels Ave
Manteca, CA 95336-6005
Phone (209) 780-4777

Other identifiers 1

IdentifierTypeStateIssuer
1841362019OtherCADENTICAL

Other names 1

  • Smile Designs Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanjay Kumar Vanjarapu DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

295 Spreckels Ave
Manteca, CA 95336
Phone (209) 780-4777

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467676800000",
    "number": "1215389069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 SPRECKELS AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953366005",
            "telephone_number": "209-780-4777",
            "fax_number": "209-780-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 SPRECKELS AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953366005",
            "telephone_number": "209-780-4777",
            "fax_number": "209-780-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY KUMAR VANJARAPU DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A",
        "authorized_official_last_name": "VANJARAPU",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-780-4777"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "55771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "1841362019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Designs Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.