Individual provider Active NPI

Sheena Vaswani, DDS

  • General Practice Dentistry
  • Los Altos, CA
National Provider Identifier
1336482892
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
102501 Issued in CA
Practice address
646 Fremont Ave
Los Altos, CA 94024-4812
Phone
(650) 948-5355
NPI assigned
Apr 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 102501 CA Primary

Addresses

Primary practice location

646 Fremont Ave
Los Altos, CA 94024-4812

Mailing address

153 El Pinar
Los Gatos, CA 95032-1147
Phone (408) 406-2296

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180504000909 TN Order and Referring Only - DentistPractitioner - Dentist 4880958578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102501CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Los Altos Family Smiles General Practice PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644710400000",
    "number": "1336482892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 EL PINAR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321147",
            "telephone_number": "408-406-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 FREMONT AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940244812",
            "telephone_number": "650-948-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASWANI",
        "first_name": "SHEENA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.