NPIMap

Organization Active NPI

Nimisha Nidgundi DDS Inc.

  • Dentist
  • Sunnyvale, CA
National Provider Identifier
1487047296
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58682 Issued in CA
Legal business name
NIMISHA NIDGUNDI DDS INC.
Practice address
1117 Tasman Dr
Sunnyvale, CA 94089-2228
Phone
(408) 234-0162
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Nimisha NidgundiNPI 1073898144
Title
Dentist/Owner
Phone
(408) 234-0162

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 58682 CA Primary

Addresses

Primary practice location

1117 Tasman Dr
Sunnyvale, CA 94089-2228

Mailing address

3575 Lehigh Dr Apt 24
Santa Clara, CA 95051-6075
Phone (408) 234-0162

Other identifiers 1

IdentifierTypeStateIssuer
58682OtherCAPPO

National Provider Directory

National Provider Directory

Locations

1117 Tasman Dr
Sunnyvale, CA 94089
Phone (408) 234-0162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1487047296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 LEHIGH DR APT 24",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950516075",
            "telephone_number": "408-234-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 TASMAN DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940892228",
            "telephone_number": "408-234-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMISHA NIDGUNDI DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "NIDGUNDI",
        "authorized_official_first_name": "NIMISHA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "408-234-0162"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "58682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.