Organization Active NPI

Abhishek Raythatha, DDS, Inc

  • Dental Clinic/Center
  • Fair Oaks, CA
National Provider Identifier
1295224707
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ABHISHEK RAYTHATHA, DDS, INC
Practice address
9833 Fair Oaks Blvd Ste E
Fair Oaks, CA 95628-7042
Phone
(916) 967-2217
NPI assigned
May 10, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Abhishek Raythatha, DDS
Title
President
Phone
(832) 785-7437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9833 Fair Oaks Blvd Ste E
Fair Oaks, CA 95628-7042

Mailing address

9833 Fair Oaks Blvd Ste E
Fair Oaks, CA 95628-7042
Phone (916) 967-2217

Other identifiers 1

IdentifierTypeStateIssuer
0OtherACCEPTING ALL PPO INSURANCES

National Provider Directory

National Provider Directory

Locations

9833 Fair Oaks Blvd
Ste E
Fair Oaks, CA 95628
Phone (916) 967-2217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1295224707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 FAIR OAKS BLVD STE E",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287042",
            "telephone_number": "916-967-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 FAIR OAKS BLVD STE E",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287042",
            "telephone_number": "916-967-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABHISHEK RAYTHATHA, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RAYTHATHA",
        "authorized_official_first_name": "ABHISHEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-785-7437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.