NPIMap

Organization Active NPI

Jagruti Upadhyay DDS Inc.

Doing business as Advanced Smile Design

  • General Practice Dentistry
  • Fremont, CA
National Provider Identifier
1679742613
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45784 Issued in CA
Legal business name
JAGRUTI UPADHYAY DDS INC.
Doing business as
Advanced Smile Design
Practice address
39560 Stevenson PL
Suite 117
Fremont, CA 94539-3074
Phone
(510) 797-8100
Fax
(510) 797-9835
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Jagruti Upadhyay, DDSNPI 1235230186
Title
President
Phone
(510) 797-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 45784 CA Primary

Addresses

Primary practice location

39560 Stevenson PL
Suite 117
Fremont, CA 94539-3074

Mailing address

39560 Stevenson PL
Suite 117
Fremont, CA 94539-3074
Phone (510) 797-8100

Other names 1

  • Advanced Smile Design Doing business as

National Provider Directory

National Provider Directory

Locations

39560 Stevenson Pl
Ste 117
Fremont, CA 94539
Phone (510) 797-8100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1679742613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39560 STEVENSON PL",
            "address_2": "SUITE 117",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393074",
            "telephone_number": "510-797-8100",
            "fax_number": "510-797-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39560 STEVENSON PL",
            "address_2": "SUITE 117",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393074",
            "telephone_number": "510-797-8100",
            "fax_number": "510-797-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGRUTI UPADHYAY DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "UPADHYAY",
        "authorized_official_first_name": "JAGRUTI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-797-8100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.