NPIMap

Organization Active NPI

Vasanth Dental Corporation

  • General Practice Dentistry
  • Millbrae, CA
National Provider Identifier
1346997707
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VASANTH DENTAL CORPORATION
Doing business as
Millbrae Smile Center
Practice address
15 El Camino Real
Millbrae, CA 94030-2603
Phone
(650) 697-9000
NPI assigned
Mar 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Authorized official

Name
Dr. Supriya Suraj Vasanth, DMDNPI 1164757027
Title
Dentist
Phone
(650) 697-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15 El Camino Real
Millbrae, CA 94030-2603

Mailing address

15 El Camino Real
Millbrae, CA 94030-2603
Phone (650) 697-9000

Other names 1

  • Millbrae Smile Center Doing business as

National Provider Directory

National Provider Directory

Locations

15 El Camino Real
Millbrae, CA 94030
Phone (650) 697-9000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1346997707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302603",
            "telephone_number": "650-697-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302603",
            "telephone_number": "650-697-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASANTH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "VASANTH",
        "authorized_official_first_name": "SUPRIYA",
        "authorized_official_middle_name": "SURAJ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-697-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrae Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.