Organization Active NPI

Priya Bakshi DDS., Inc.

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1609990498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48083 Issued in CA
Legal business name
PRIYA BAKSHI DDS., INC.
Practice address
4466 Pearl Ave
San Jose, CA 95136-1846
Phone
(408) 266-2709
Fax
(408) 266-2763
NPI assigned
Mar 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Priya Bakshi, DDSNPI 1598130957
Title
President
Phone
(408) 266-2709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 48083 CA Primary

Addresses

Primary practice location

4466 Pearl Ave
San Jose, CA 95136-1846

Mailing address

4466 Pearl Ave
San Jose, CA 95136-1846
Phone (408) 266-2709

Other names 1

  • Pearls Dental Office, Priya Bakshi DDS., Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

4466 Pearl Ave
San Jose, CA 95136
Phone (408) 266-2709

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609990498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 PEARL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361846",
            "telephone_number": "408-266-2709",
            "fax_number": "408-266-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 PEARL AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361846",
            "telephone_number": "408-266-2709",
            "fax_number": "408-266-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYA BAKSHI DDS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKSHI",
        "authorized_official_first_name": "PRIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-266-2709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearls Dental Office, Priya Bakshi DDS., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.