Individual provider Active NPI

Sharanya Chola

  • General Practice Dentistry
  • Tracy, CA
National Provider Identifier
1578080628
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101719 Issued in CA
Practice address
2600 S Tracy Blvd Ste 170
Tracy, CA 95376-9111
Phone
(209) 836-5441
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 101719 CA Primary

Addresses

Primary practice location

2600 S Tracy Blvd Ste 170
Tracy, CA 95376-9111

Mailing address

630 Park View Dr Apt 304
Santa Clara, CA 95054-3580
Phone (806) 420-9914

Other practice location 1

630 Park View Dr Apt 304
Santa Clara, CA 95054-3580
Phone (806) 420-9914

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

State licenses

LicenseStateTypeSpecialty
101719CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sharanya Chola DDS Inc General Practice Current Accepting new patients
Entabi Dental Corporation General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sharanya.chola@sjffcc.eclinicaldirectplus.com
  • Direct secure messaging: schola330475@direct.ochin.org

Organizations & group practices 2

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578080628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PARK VIEW DR APT 304",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543580",
            "telephone_number": "806-420-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S TRACY BLVD STE 170",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953769111",
            "telephone_number": "209-836-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 Park View Dr Apt 304",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950543580",
            "country_code": "US",
            "telephone_number": "806-420-9914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOLA",
        "first_name": "SHARANYA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.