Dr Anandhi Djegaradjane DDS Apc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47069 Issued in CA

Legal business name

DR ANANDHI DJEGARADJANE DDS APC

Doing business as

Willow Family Dentistry

Practice address

910 Willow Rd
Menlo Park, CA 94025-2544

Phone

(650) 326-3764

Fax

(650) 326-1069

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Anandhi Djegaradjane, DDS

Title

Owner/President

Phone

(650) 326-3764

Specialties & licenses 1

Addresses

Other names 1

• Willow Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1700289691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252544",
            "telephone_number": "650-326-3764",
            "fax_number": "650-326-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252544",
            "telephone_number": "650-326-3764",
            "fax_number": "650-326-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ANANDHI DJEGARADJANE DDS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "DJEGARADJANE",
        "authorized_official_first_name": "ANANDHI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "650-326-3764",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anandhi Djegaradjane, DDS
• Elizabeth Patricia Doi, D.D.S.
• Samuel Paul Donath
• Elizabeth Eileen Dong, MD
• Caroline Doo
• Marty Dreher
• Kent D Drescher, PH.D.
• John Andrew Dundas, PH.D.
• Susan Irene Dunn, BSN,M.N, ANP-C
• Michelle Duong, PHD, RD

• General Practice Dentistry in Menlo Park, CA
• Providers in Menlo Park, 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 Oct 7, 2014; 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.