Active NPI
Swathi Bagadi
- Dentist
- Stockton, CA
National Provider Identifier
1427851088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 112656
- Practice address
- 7860 West LN Ste B5
Stockton, CA 95210-3317 - Phone
- (209) 235-0295
- NPI assigned
- Mar 29, 2025
- 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 | 112656 | CA | Primary |
Addresses
Primary practice location
7860 West LN Ste B5
Stockton, CA 95210-3317
Mailing address
17880 Reunion St
Lathrop, CA 95330-8102
Phone (518) 256-1647
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 |
|---|---|---|---|
| 112656 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1427851088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17880 REUNION ST",
"city": "LATHROP",
"state": "CA",
"postal_code": "953308102",
"telephone_number": "518-256-1647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7860 WEST LN STE B5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103317",
"telephone_number": "209-235-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGADI",
"first_name": "SWATHI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-29",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "112656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.