Active NPI
Sunnyvale Dentist
- Dentist
- Sunnyvale, CA
National Provider Identifier
1477561264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 43031
- Legal business name
- SUNNYVALE DENTIST
- Practice address
- 877 W Fremont Ave
Suite a-2
Sunnyvale, CA 94087 - Phone
- (408) 524-5505
- Fax
- (408) 524-5506
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lalitha N Kothuri, DDS
- Title
- Owner Dentist
- Phone
- (408) 524-5505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 43031 | CA | Primary |
Addresses
Primary practice location
877 W Fremont Ave
Suite a-2
Sunnyvale, CA 94087
Mailing address
877 W Fremont Ave
Suite a-2
Sunnyvale, CA 94087
Phone (408) 524-5505
National Provider Directory
National Provider DirectoryLocations
877 W Fremont Ave
Ste A2
Sunnyvale, CA 94087
Phone (408) 429-3868
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Sunnyvale, CA
- NPI 1619314317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477561264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 W FREMONT AVE",
"address_2": "SUITE A-2",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "408-524-5505",
"fax_number": "408-524-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 W FREMONT AVE",
"address_2": "SUITE A-2",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "94087",
"telephone_number": "408-524-5505",
"fax_number": "408-524-5506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNNYVALE DENTIST",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOTHURI",
"authorized_official_first_name": "LALITHA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER DENTIST",
"authorized_official_telephone_number": "408-524-5505",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "43031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
- Yale H Sun
- Ashrafi G Sunasra, MASLP
- Sunny Acupuncture Clinic Inc
- Sunnyvale Acupuncture Center Inc
- Sunnyvale Community Healthcare, LLC
- Sunnyvale Imaging Center a Professional Medical Corporation
- Sunnyvale Psychiatry, P.C.
- Sunnyvale School District
- Sunnyvale Vision and Eye Care Center, Inc.
- Sunrise Acupuncture Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.