Ujjwala Dorlikar DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

CA54865 Issued in CA

Legal business name

UJJWALA DORLIKAR DDS INC

Practice address

3151 S White Rd Ste 204
San Jose, CA 95148-4045

Phone

(408) 270-1120

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ujjwala Dorlikar, DDSNPI 1083756944

Title

Ceo

Phone

(408) 455-3788

Specialties & licenses 1

Addresses

Other names 1

• EVERGREEN FAMILY DENTISTRY Doing business as

Practitioners 1

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

• Ujjwala Dorlikar, DDS

  • Dentist
  • San Jose, CA
  • NPI 1083756944

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1649767385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 STIMSON WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD STE 204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-270-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJJWALA DORLIKAR DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "DORLIKAR",
        "authorized_official_first_name": "UJJWALA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-455-3788",
        "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": "CA54865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN FAMILY DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kathryn Nicole Ocampo Um, LMFT
• Suny Um

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.