Active NPI
Pratim Arun Kulkarni, D.D.S.
- Dentist
- San Jose, CA
National Provider Identifier
1649729609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100927
- Practice address
- 2454 Story Rd
San Jose, CA 95122-1058 - Phone
- (408) 272-0888
- NPI assigned
- Sep 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100927 | CA | Primary |
Addresses
Primary practice location
2454 Story Rd
San Jose, CA 95122-1058
Mailing address
40523 Ives CT
Fremont, CA 94538-2515
Phone (769) 216-7492
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100927 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deepika Jain,D.D.S. Inc. | Past | Accepting new patients | |
| Yujia Yao Dental Corporation | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1255725537
-
- Dental Clinic/Center
- San Jose, CA
- NPI 1578371480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1649729609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40523 IVES CT",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382515",
"telephone_number": "769-216-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2454 STORY RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221058",
"telephone_number": "408-272-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULKARNI",
"first_name": "PRATIM",
"middle_name": "ARUN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-30",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 10, 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.