Parvathi Koka Pokala, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

40296 Issued in CA

Practice address

8031 Linda Vista Rd Ste 200
San Diego, CA 92111-5110

Phone

(858) 278-8700

Fax

(858) 278-4997

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: ppokala12108@radychildrens.direct-ci.com

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1548356686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 LINDA VISTA RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115110",
            "telephone_number": "858-278-8700",
            "fax_number": "858-278-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 LINDA VISTA RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115110",
            "telephone_number": "858-278-8700",
            "fax_number": "858-278-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKALA",
        "first_name": "PARVATHI",
        "middle_name": "KOKA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "40296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI CAL IDENTIFICATION",
            "identifier": "G92041-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poiset Dental Corporation
• Poiset Dental Group, Apc
• Alexandra Poiset
• Mitchell Poiset, DDS
• Pokala Chawla Dental Partnership
• Sathya Pratap Pokala, M.D.
• Poke-Aha-Ntas Acupuncture, a Professional Corporation
• Bhupesh Pokhrel, MD
• Rebecca Krista Polacek, RD
• Samantha Kathryn Polak, MS, OTR/L

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.