Active NPI
Radhika Tandon, D.M.D.
- Endodontics
- Daly City, CA
National Provider Identifier
1386804219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 62147
- Practice address
- 341 Gellert Blvd Ste C
Daly City, CA 94015 - Phone
- (650) 994-2710
- NPI assigned
- Jun 13, 2008
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 62147 | CA | Primary |
Addresses
Primary practice location
341 Gellert Blvd Ste C
Daly City, CA 94015
Mailing address
141 Wellesley Cres Apt 209
Redwood City, CA 94062-1765
Phone (617) 319-0446
Other practice location 1
2454 Story Rd
San Jose, CA 95122-1058
Phone (408) 272-0888
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yujia Yao Dental Corporation | Past | Accepting new patients | |
| Deepika Jain,D.D.S. Inc. | Past | Accepting new patients | |
| Michaelian Endodontic Dental Group Inc | Endodontics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1255725537
-
- Endodontics
- Daly City, CA
- NPI 1578012027
-
- Dental Clinic/Center
- San Jose, CA
- NPI 1578371480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1386804219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 WELLESLEY CRES APT 209",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621765",
"telephone_number": "617-319-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 GELLERT BLVD STE C",
"city": "DALY CITY",
"state": "CA",
"postal_code": "94015",
"telephone_number": "650-994-2710"
}
],
"practiceLocations": [
{
"address_1": "2454 Story Rd",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951221058",
"country_code": "US",
"telephone_number": "408-272-0888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANDON",
"first_name": "RADHIKA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-13",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "62147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.