Active NPI
Priya Prasannakumar, DDS
- Dentist
- San Ramon, CA
National Provider Identifier
1629348354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60950
- Practice address
- 140 Coralflower LN
San Ramon, CA 94582-5529 - Phone
- (510) 449-9513
- NPI assigned
- Jan 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60950 | CA | Primary |
| Dentist | 122300000X | 27728 | TX |
Addresses
Primary practice location
140 Coralflower LN
San Ramon, CA 94582-5529
Mailing address
140 Coralflower LN
San Ramon, CA 94582-5529
Phone (510) 449-9513
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1629348354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CORALFLOWER LN",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825529",
"telephone_number": "510-449-9513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 CORALFLOWER LN",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825529",
"telephone_number": "510-449-9513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRASANNAKUMAR",
"first_name": "PRIYA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "60950",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27728",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.