Organization Active NPI

Siddappa Dental Corporation

  • Orofacial Pain Dentistry
  • Agoura Hills, CA
National Provider Identifier
1669354148
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
Legal business name
SIDDAPPA DENTAL CORPORATION
Practice address
28348 Roadside Dr Ste 201
Agoura Hills, CA 91301-2596
Phone
(805) 208-1502
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Authorized official

Name
Dr. Savitha Siddappa, DMDNPI 1689737512
Title
Owner
Phone
(805) 208-1502

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
Orofacial Pain DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X2210X Primary

Addresses

Primary practice location

28348 Roadside Dr Ste 201
Agoura Hills, CA 91301-2596

Mailing address

372 Camino de Celeste
Thousand Oaks, CA 91360-7124
Phone (805) 208-1502

National Provider Directory

National Provider Directory

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": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1669354148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 CAMINO DE CELESTE",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607124",
            "telephone_number": "805-208-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28348 ROADSIDE DR STE 201",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012596",
            "telephone_number": "805-208-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDDAPPA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "SIDDAPPA",
        "authorized_official_first_name": "SAVITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-208-1502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orofacial Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.