NPIMap

Organization Active NPI

Dr. Pratibha Vegulla DDS

Doing business as Lotus Dental Care

  • Dental Clinic/Center
  • Redwood City, CA
National Provider Identifier
1568198117
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. PRATIBHA VEGULLA DDS
Doing business as
Lotus Dental Care
Practice address
133 Arch St Ste 4
Redwood City, CA 94062-1326
Phone
(650) 299-9990
NPI assigned
Jul 26, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Dr. Pratibha Vegulla, DDSNPI 1548322530
Title
Owner
Phone
(408) 348-2993

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Prosthodontics 1223P0700X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

133 Arch St Ste 4
Redwood City, CA 94062-1326

Mailing address

133 Arch St Ste 4
Redwood City, CA 94062-1326
Phone (650) 299-9990

Other names 1

  • Lotus Dental Care Doing business as

National Provider Directory

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1568198117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ARCH ST STE 4",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621326",
            "telephone_number": "650-299-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ARCH ST STE 4",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621326",
            "telephone_number": "650-299-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PRATIBHA VEGULLA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "VEGULLA",
        "authorized_official_first_name": "PRATIBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-348-2993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lotus Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.