NPIMap

Organization Active NPI

Sucheta Amanjee DDS Inc

Doing business as Tooth Fairy Dental Center

  • General Acute Care Hospital
  • Roseville, CA
National Provider Identifier
1538431986
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SUCHETA AMANJEE DDS INC
Doing business as
Tooth Fairy Dental Center
Practice address
790 Atlantic St
Roseville, CA 95678-1806
Phone
(916) 780-7890
Fax
(916) 780-5733
NPI assigned
Feb 1, 2012
Last updated
Aug 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Authorized official

Name
Sucheta S Amanjee, DDSNPI 1235272105
Title
President/Owner
Phone
(916) 780-7890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

790 Atlantic St
Roseville, CA 95678-1806

Mailing address

790 Atlantic St
Roseville, CA 95678-1806
Phone (916) 780-7890

Other names 1

  • TOOTH FAIRY DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sucheta Amanjee DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1538431986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ATLANTIC ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781806",
            "telephone_number": "916-780-7890",
            "fax_number": "916-780-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ATLANTIC ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781806",
            "telephone_number": "916-780-7890",
            "fax_number": "916-780-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCHETA AMANJEE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "AMANJEE",
        "authorized_official_first_name": "SUCHETA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "916-780-7890",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOOTH FAIRY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOOTH FAIRY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.