Manjusha Kuppadakath

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

HAP891 Issued in CA

Practice address

32530 Shiela Way
Union City, CA 94587-5048

Phone

(408) 313-6090

NPI assigned

Mar 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smilenow Dental Hygiene Services LLC

  • Dental Clinic/Center
  • Union City, CA
  • NPI 1922895945
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1437805272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32530 SHIELA WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945875048",
            "telephone_number": "408-313-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32530 SHIELA WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945875048",
            "telephone_number": "408-313-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPADAKATH",
        "first_name": "MANJUSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "HAP891",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "26210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Kopecki
• Julie Ann Kovitz
• Natasha Krikorian, PSYD
• Ferishta Kulaly
• Hung Cheng Kuo, LAC
• Monica Kurani, MS CCC-SLP
• Tracy Vuong Kyono, PHARM.D.
• La Clinica de la Raza Inc
• Mikaela De Leon Lacsa
• James Michael Lahey, M.D.

• Dental Hygienist in Union City, CA
• Providers in Union City, CA by specialty
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.