Organization Active NPI

Mohana Awasthi,DDS, Inc.

  • General Practice Dentistry
  • Santa Cruz, CA
National Provider Identifier
1265016265
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOHANA AWASTHI,DDS, INC.
Practice address
1588 Soquel Dr Ste 3
Santa Cruz, CA 95065-1714
Phone
(831) 454-8120
NPI assigned
May 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Authorized official

Name
Mohana Ratna Shilpa Awasthi, DDSNPI 1992012074
Title
Ceo
Phone
(774) 208-3880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1588 Soquel Dr Ste 3
Santa Cruz, CA 95065-1714

Mailing address

17535 Soda Springs Rd
Los Gatos, CA 95033-8653
Phone (774) 208-3880

National Provider Directory

National Provider Directory

Locations

1588 Soquel Dr
Ste 3
Santa Cruz, CA 95065
Phone (831) 454-8120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620259200000",
    "number": "1265016265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17535 SODA SPRINGS RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950338653",
            "telephone_number": "774-208-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 SOQUEL DR STE 3",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651714",
            "telephone_number": "831-454-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHANA AWASTHI,DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A",
        "authorized_official_last_name": "AWASTHI",
        "authorized_official_first_name": "MOHANA",
        "authorized_official_middle_name": "RATNA SHILPA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "774-208-3880",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.