Individual provider Active NPI

Divyarupa Sunkara, DDS

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1427457175
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63698 Issued in CA
Practice address
2321 Northgate Blvd
Sacramento, CA 95833-2504
Phone
(510) 219-4250
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63698 CA Primary

Addresses

Primary practice location

2321 Northgate Blvd
Sacramento, CA 95833-2504

Mailing address

5261 Elkhorn Blvd
Sacramento, CA 95842-2506
Phone (916) 344-2554

Other practice location 1

5261 Elkhorn Blvd
Sacramento, CA 95842-2506
Phone (916) 344-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151027001509 CA Order and Referring Only - DentistPractitioner - Dentist 9830408152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63698CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyarupa Sunkara DDS Inc CurrentSince Sep 25, 2022 Accepting new patients

Locations

2321 Northgate Blvd
Sacramento, CA 95833
Phone (510) 219-4250

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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1427457175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 ELKHORN BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958422506",
            "telephone_number": "916-344-2554",
            "fax_number": "916-339-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 NORTHGATE BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958332504",
            "telephone_number": "510-219-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5261 Elkhorn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958422506",
            "country_code": "US",
            "telephone_number": "916-344-2554",
            "fax_number": "916-339-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNKARA",
        "first_name": "DIVYARUPA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.