Organization Active NPI

Sandhya Hegde DDS, Inc

  • Dentist
  • Bonita, CA
National Provider Identifier
1285082123
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SANDHYA HEGDE DDS, INC
Practice address
4424 Bonita Rd
Bonita, CA 91902-1423
Phone
(619) 479-8703
NPI assigned
Jun 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Sundeep Hegde
Title
Owner
Phone
(619) 479-8703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CA Primary

Addresses

Primary practice location

4424 Bonita Rd
Bonita, CA 91902-1423

Mailing address

4424 Bonita Rd
Bonita, CA 91902-1423
Phone (619) 479-8703

Other identifiers 1

IdentifierTypeStateIssuer
122300000XOtherCADENTIST

Other names 1

  • Bonita Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bonita Family Dental2 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

4424 Bonita Rd
Bonita, CA 91902
Phone (619) 473-0392

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1285082123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 BONITA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021423",
            "telephone_number": "619-479-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 BONITA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021423",
            "telephone_number": "619-479-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHYA HEGDE DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "HEGDE",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-479-8703"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "122300000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bonita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.