Active NPI
Anand Maharathi, DMD
- Periodontics
- Berkeley, CA
National Provider Identifier
1306086186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 58119
- Practice address
- 1206 The Alameda
Berkeley, CA 94709-1907 - Phone
- (510) 525-7521
- Fax
- (510) 525-5262
- NPI assigned
- Mar 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 58119 | CA | Primary |
Addresses
Primary practice location
1206 The Alameda
Berkeley, CA 94709-1907
Mailing address
1206 The Alameda
Berkeley, CA 94709-1907
Other names 1
- Anand Maharathi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58119 | CA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269302400000",
"number": "1306086186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 THE ALAMEDA",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1206 THE ALAMEDA",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947091907",
"telephone_number": "510-525-7521",
"fax_number": "510-525-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHARATHI",
"first_name": "ANAND",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2010-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "58119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANAND",
"last_name": "MAHARATHI",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.