Rita S Mitbavkar, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

55662 Issued in CA

Practice address

6134 Camino Verde Dr Ste G
San Jose, CA 95119-1431

Phone

(408) 226-1600

Fax

(408) 226-1670

NPI assigned

May 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dr Rita S Mitbavkar DDS Inc

  • General Practice Dentistry
  • Sunnyvale, CA
  • NPI 1619543162
  NPD Authorized official

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1346441300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 E HOMESTEAD RD",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940875028",
            "telephone_number": "408-249-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 CAMINO VERDE DR STE G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191431",
            "telephone_number": "408-226-1600",
            "fax_number": "408-226-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITBAVKAR",
        "first_name": "RITA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D55662",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radhika Mistry, D. D. S.
• Ravina Mistry
• Vanita Mistry
• Misty Henne-Bhullar DMD Inc.
• My Phuong Nguyen Mitarai, M.D.
• Kelly Mitchell-Headley
• Jessica Mitchell-Stoddard
• Carolyn Finn Mitchell, PH.D.
• Diamond Mitchell
• Janet Elizabeth Mitchell, LMFT

• 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 Jun 10, 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.