Active NPI
Sneha Vijay Kherde
- Dentist
- Alameda, CA
National Provider Identifier
1366920662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 102923
- Practice address
- 2140 S Shore Ctr
Alameda, CA 94501-8043 - Phone
- (510) 214-0253
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 102923 | CA | Primary |
Addresses
Primary practice location
2140 S Shore Ctr
Alameda, CA 94501-8043
Mailing address
385 King Ave
Fremont, CA 94536-1514
Phone (408) 930-2226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102923 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1366920662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 KING AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945361514",
"telephone_number": "408-930-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 S SHORE CTR",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945018043",
"telephone_number": "510-214-0253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHERDE",
"first_name": "SNEHA",
"middle_name": "VIJAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "102923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.