Active NPI
Mohana Awasthi,DDS, Inc.
- General Practice Dentistry
- Santa Cruz, CA
National Provider Identifier
1265016265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohana Ratna Shilpa Awasthi, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- Dentist
- Santa Cruz, CA
- NPI 1992012074
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.