Individual provider Active NPI

Savitha Siddappa, DMD

  • Orofacial Pain Dentistry
  • Thousand Oaks, CA
National Provider Identifier
1689737512
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orofacial Pain DentistryTaxonomy code 1223X2210X
License
56598 Issued in CA
Practice address
355 E. Avenida de Los Arboles
Suite a
Thousand Oaks, CA 91360
Phone
(805) 241-5353
Fax
(805) 241-1515
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 56598 CA
Orofacial Pain Dentistry 1223X2210X 56598 CA Primary

Addresses

Primary practice location

355 E. Avenida de Los Arboles
Suite a
Thousand Oaks, CA 91360

Mailing address

3876 Sunset Knolls Dr
Thousand Oaks, CA 91362-4823
Phone (805) 380-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250113002859 CA Practitioner - Oral Surgery 3274831433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Boston Univ Goldman School of Dental Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley a Eli Dental CorporationGroup PAC ID 1557682804, 5 clinicians

Practice addresses (Care Compare)

2095 W Vista Way
Suite 218
Vista, CA 92083-6029
Phone (760) 436-6365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
56598CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Savitha Siddappa DMD Inc General Practice CurrentSince Aug 18, 2009 Accepting new patients
Siddappa Dental Corporation Orofacial Pain Current Accepting new patients
Bradley a. Eli Dental Corporation Dentist CurrentSince Jan 1, 2025 Accepting new patients
Sleep Treatment Partners PastSince May 17, 2020 Accepting new patients

Locations

4403 Manchester Ave
Ste 101
Encinitas, CA 92024
Phone (760) 436-6365

11980 San Vicente Blvd
Ste 811
Los Angeles, CA 90049
Phone (310) 826-8911

11980 San Vicente Blvd
Ste 814
Los Angeles, CA 90049
Phone (760) 436-6365

355 E Avenida de los Arboles
Ste A
Thousand Oaks, CA 91360
Phone (805) 241-5353

2095 W Vista Way
Ste 218
Vista, CA 92083
Phone (760) 630-3562

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1689737512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 SUNSET KNOLLS DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913624823",
            "telephone_number": "805-380-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E. AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-241-5353",
            "fax_number": "805-241-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDAPPA",
        "first_name": "SAVITHA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56598",
            "primary": false
        },
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "CA",
            "license": "56598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.