Individual provider Active NPI

Harini A Krishnapuram, D.D.S

  • General Practice Dentistry
  • Cupertino, CA
National Provider Identifier
1497074884
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48136 Issued in CA
Practice address
20395 Pacifica Dr
Suite 109
Cupertino, CA 95014-3016
Phone
(408) 873-0802
Fax
(408) 873-0804
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 48136 CA Primary

Addresses

Primary practice location

20395 Pacifica Dr
Suite 109
Cupertino, CA 95014-3016

Mailing address

20395 Pacifica Dr
Suite 109
Cupertino, CA 95014-5020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mota Dental Inc PastSince Jun 5, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1497074884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20395 PACIFICA DR",
            "address_2": "SUITE 109",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950145020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20395 PACIFICA DR",
            "address_2": "SUITE 109",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143016",
            "telephone_number": "408-873-0802",
            "fax_number": "408-873-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAPURAM",
        "first_name": "HARINI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.