Dr Gayatri Sundararajan DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR GAYATRI SUNDARARAJAN DDS INC

Practice address

3351 El Camino Real Ste 235
Atherton, CA 94027-3862

Phone

(608) 335-7890

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Gayatri Sundararajan, DDSNPI 1528420684

Title

Owner Dentist

Phone

(608) 335-7890

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gayatri Sundararajan, DDS

  • Dentist
  • Atherton, CA
  • NPI 1528420684
  NPD Authorized official

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1689314452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 EL CAMINO REAL STE 235",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273862",
            "telephone_number": "608-335-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EL CAMINO REAL STE 235",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940273862",
            "telephone_number": "608-335-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GAYATRI SUNDARARAJAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "SUNDARARAJAN",
        "authorized_official_first_name": "GAYATRI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "608-335-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "101348",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Shen Dental Corp
• Aida Jimenez De Guzman
• Andrea Deal
• Manjul S Dixit, MD
• Nazila Doroodian, DMD
• Ian Eisenberger
• Ellevatemd
• Ayshalynn Epperson, PA-C
• Robert Fennell, ATC, M.S.
• Mark Thomas Fowler, ATC

• General Practice Dentistry in Atherton, CA
• Providers in Atherton, 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 Mar 30, 2022; 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.