Active NPI
Shobha Narasimhan Dental Corporation
- General Practice Dentistry
- Antioch, CA
National Provider Identifier
1285092015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shobha Narasimhan, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64147 | CA | |
| General Practice Dentistry | 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
- Shobha Dental Inc, A California Dental Corporation
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Antioch, CA
- NPI 1518065812
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.