Shruti Tandon, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DDS101952 Issued in CA

Practice address

255 Crestview Dr
Santa Clara, CA 95050-6503

Phone

(919) 272-3480

NPI assigned

Jul 13, 2015

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Shruti Tandon D.M.D., Inc.

  • General Practice Dentistry
  • Santa Clara, CA
  • NPI 1215519798
  NPD Authorized official

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1336523935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34641 WINSLOW TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553643",
            "telephone_number": "919-272-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CRESTVIEW DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950506503",
            "telephone_number": "919-272-3480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1856 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181099545",
            "country_code": "US",
            "telephone_number": "866-277-1883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANDON",
        "first_name": "SHRUTI",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040537",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS101952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jia Wei Tan, MD
• Philip Min Tan, L.AC.
• Quech Soan Tan
• Xiaoling Tan, FNP-C
• Charles Tandler, MD
• Tang Song Acupuncture Inc
• Aster Tang, MS, MSW, IBCLC, LCCE
• James Chung-Ming Tang, M.D.
• Jessica Tang
• Jonathan Kevin Tang

• Dentist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.