Sudha Sesha Chinta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43769 Issued in CA

Practice address

12111 Alcosta Blvd
San Ramon, CA 94583-2637

Phone

(925) 829-3111

Fax

(925) 560-0134

NPI assigned

Nov 10, 2006

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.

• One Mobile Dental

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1720768740
  NPD Authorized official
• Stone Oak Endodontics

  • Endodontics
  • San Antonio, TX
  • NPI 1487470084
  NPD Authorized official

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1356412647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SYCAMORE VALLEY RD W",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263957",
            "telephone_number": "925-362-1800",
            "fax_number": "925-855-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 ALCOSTA BLVD",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832637",
            "telephone_number": "925-829-3111",
            "fax_number": "925-560-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINTA",
        "first_name": "SUDHA",
        "middle_name": "SESHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "43769",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Chhiv, FNP
• Misha Jean CHI, O.D
• Teona Chilindrishvili, PA
• Robyn L Chimenti, D.C., C.C.P.
• Isaac W Chin, DDS
• Rose Chiparo
• Preeti Sunil Chitgopekar, D.D.S
• Victoria Eugenia Chiu, O.D.
• Claudine Cho, PNP
• Yeonah Cho

• General Practice Dentistry in San Ramon, CA
• Providers in San Ramon, 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 Feb 10, 2020; 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.