Organization Active NPI

Shobha Narasimhan Dental Corporation

  • General Practice Dentistry
  • Antioch, CA
National Provider Identifier
1285092015
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHOBHA NARASIMHAN DENTAL CORPORATION
Practice address
2219 Buchanan Road
Suite #1
Antioch, CA 94509
Phone
(925) 978-9714
Fax
(925) 303-2436
NPI assigned
Feb 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Dr. Shobha Narasimhan, DDSNPI 1518065812
Title
Owner
Phone
(732) 991-7803

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 64147 CA
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2219 Buchanan Road
Suite #1
Antioch, CA 94509

Mailing address

298 Rangewood Dr
Pittsburg, CA 94565
Phone (908) 380-0564

Other names 2

  • Buchanan dental Doing business as
  • Shobha Dental Inc, A California Dental Corporation Former legal business name

National Provider Directory

National Provider Directory

Locations

2219 Buchanan Rd
Ste 1
Antioch, CA 94509
Phone (925) 331-7665

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": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1285092015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 RANGEWOOD DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "94565",
            "telephone_number": "908-380-0564",
            "fax_number": "603-318-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 BUCHANAN ROAD",
            "address_2": "SUITE #1",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "94509",
            "telephone_number": "925-978-9714",
            "fax_number": "925-303-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOBHA NARASIMHAN DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "NARASIMHAN",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-991-7803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64147",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buchanan dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shobha Dental Inc, A California Dental Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.