Sonali Marfatia Acharya, BDS, MDS, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

106767 Issued in CA

Practice address

2285 Challenger Way
Santa Rosa, CA 95407-5418

Phone

(707) 569-2300

NPI assigned

Aug 1, 2021

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 names 1

• Sonali Salil Marfatia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1396418604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TAMAL VISTA BLVD APT 202",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251657",
            "telephone_number": "516-778-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 CHALLENGER WAY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075418",
            "telephone_number": "707-569-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHARYA",
        "first_name": "SONALI",
        "middle_name": "MARFATIA",
        "name_prefix": "Dr.",
        "credential": "BDS, MDS, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "106767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONALI",
            "last_name": "MARFATIA",
            "middle_name": "SALIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Periodontics in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.