Madhura Sen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS110310 Issued in CA

Practice address

1208 Fitzgerald Dr
Pinole, CA 94564-2252

Phone

(510) 210-8907

NPI assigned

Aug 6, 2024

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

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.

• Priya Patel Dental Corporation

  • Dentist
  • Pinole, CA
  • NPI 1285008987
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1336979004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 FITZGERALD DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 FITZGERALD DR",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642252",
            "telephone_number": "510-210-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEN",
        "first_name": "MADHURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS110310",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS110310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Marc Sankary, M.D.
• Ann Christine Schroeckenstein
• Amy Nicole Scott, PH.D. NCSP
• Desiree Camilia Scott
• Lyca Carroll Sedaka, M.S, LMFT, LEP, NCSP
• Armen Serebrakian, M.D.
• Serramonte Pulmonary, Asthma Sleep Clinic Inc.
• Amir Shababi, D.C.
• Sogol Shafieiadl, M.S.
• Jung Jung Shang

• General Practice Dentistry in Pinole, CA
• Providers in Pinole, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.