Jotsna J Gangadharan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

53790 Issued in CA

Practice address

2045 W Briggsmore Ave Ste E
Modesto, CA 95350-3770

Phone

(209) 204-2535

NPI assigned

Feb 9, 2010

Last updated

Mar 25, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jgangadharan@direct.westerndental.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Jotsna's Dental Office

  dba Pearl Dental

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1407367824
  NPD (past) Authorized official

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1467784835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 PALLISER WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559744",
            "telephone_number": "209-204-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W BRIGGSMORE AVE STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503770",
            "telephone_number": "209-204-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGADHARAN",
        "first_name": "JOTSNA",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami Gami, DDS
• Miesha Renee Gammage, M.S. COUNSELING
• James Allen Gammon, MD
• Rong Gan, MD
• Nimeshkumar Gandhi, PHARM D
• Vineet Javahar Gangadharan, DDS
• Vishakha Gangadharan
• Naju Gangula
• Ravi V. Gangula, MD
• Gopika Gangupantula, MD

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.