Individual provider Active NPI

Sucheta Budania, BDS

  • Pediatric Dentistry
  • Redwood City, CA
National Provider Identifier
1407281918
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DDS103671 Issued in CA
Practice address
160 Birch St # a
Redwood City, CA 94062-1307
Phone
(650) 369-3695
NPI assigned
Sep 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 0401414981 VA
Pediatric Dentistry 1223P0221X DDS103671 CA Primary

Addresses

Primary practice location

160 Birch St # a
Redwood City, CA 94062-1307

Mailing address

160 Birch St # a
Redwood City, CA 94062-1307

Other practice location 1

5200 lyngate court
Apt 2
Burke, VA 22015
Phone (703) 978-1903

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

LicenseStateTypeSpecialty
DDS103671CAMDPediatric Dentist
0401414981VAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sucheta Budania Dental Corporation Pediatric Dentistry Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1407281918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BIRCH ST # A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BIRCH ST # A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621307",
            "telephone_number": "650-369-3695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 lyngate court",
            "address_2": "Apt 2",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "22015",
            "country_code": "US",
            "telephone_number": "703-978-1903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUDANIA",
        "first_name": "SUCHETA",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-04",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401414981",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS103671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.