Mitali Mahendra Mhatre

Primary specialty

DentistTaxonomy code 122300000X

License

111706 Issued in CA

Practice address

266 N Jackson Ave Ste 1
San Jose, CA 95116-1606

Phone

(408) 975-2731

NPI assigned

May 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1326839358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MOORPARK AVE STE 319",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282625",
            "telephone_number": "408-975-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 N JACKSON AVE STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161606",
            "telephone_number": "408-975-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332005",
            "country_code": "US",
            "telephone_number": "205-934-3387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MHATRE",
        "first_name": "MITALI MAHENDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111706",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia H Meza, MA CCC-SLP
• Grisel Meza
• Manuel Meza
• Armstrong Mgbatu Tabot
• MH Clinic at Juvenile Hall
• Mariam Nazir Mian, DO
• Junior Miantezila Nkozo
• Baowen Miao, LAC
• Kaly Hamo Miasso
• Michael Bieganski DC a Professional Chiropractic Corporation

• Dentist in San Jose, CA
• Providers in San Jose, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; 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.