Sucheta Sarathy Amanjee, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

53573 Issued in CA

Practice address

520 Cottonwood St Ste 3
Woodland, CA 95695-3603

Phone

(530) 662-7558

NPI assigned

Feb 14, 2007

Last updated

Jul 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sucheta Amanjee DDS Inc

  dba Tooth Fairy Dental Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1538431986
  Authorized official Same address or phone
• Sucheta Amanjee DDS Inc

  dba Tooth Fairy Dental Center

  • Pediatric Dentistry
  • Woodland, CA
  • NPI 1740833805
  NPD (past) Authorized official
• Sucheta Amanjee DDS Inc

  dba Tooth Fairy Dental Center

  • Pediatric Dentistry
  • Vacaville, CA
  • NPI 1780024026
  NPD (past) Authorized official
• Sarathy Amanjee DDS Inc.

  dba Vacaville Dental Center

  • Dental Clinic/Center
  • Roseville, CA
  • NPI 1720614886
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1235272105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ATLANTIC ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781806",
            "telephone_number": "916-780-7890",
            "fax_number": "916-780-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COTTONWOOD ST STE 3",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953603",
            "telephone_number": "530-662-7558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Parker St Ste B",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956883921",
            "country_code": "US",
            "telephone_number": "707-450-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Atlantic St",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956781806",
            "country_code": "US",
            "telephone_number": "916-780-7890",
            "fax_number": "916-780-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMANJEE",
        "first_name": "SUCHETA",
        "middle_name": "SARATHY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Alexander, M.S., MFT
• Veronica Alexander, M.D.
• Jenna Cassandra Allen
• Sammy Jafar Almashat, M.D.
• Reid Alton
• Thomas Ambrosini, NP
• Osvaldo Amezcua, D.D.S.
• Carol Lynette Anderson-Pearson
• Brad Charles Anderson
• Doris C Anderson, LCSW

• Pediatric Dentistry in Woodland, CA
• Providers in Woodland, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.