Individual provider Active NPI

Apurva Shreekant Dabak

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1710764204
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
109222 Issued in CA
Practice address
93 Arch St
Redwood City, CA 94062-1401
Phone
(650) 820-0337
Fax
(650) 779-0101
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 109222 CA Primary

Addresses

Primary practice location

93 Arch St
Redwood City, CA 94062-1401

Mailing address

1030 Harness Dr Apt 56
San Ramon, CA 94583-2256
Phone (650) 820-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
109222CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Apurva Dabak DDS Inc CurrentSince Sep 29, 2024 Accepting new patients
Fana Aragaw DDS Inc. PastSince Jan 1, 2024 Accepting new patients

Locations

93 Arch St
Redwood City, CA 94062
Phone (415) 369-3779

Organizations & group practices 2

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1710764204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARNESS DR APT 56",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832256",
            "telephone_number": "650-820-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 ARCH ST",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621401",
            "telephone_number": "650-820-0337",
            "fax_number": "650-779-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAK",
        "first_name": "APURVA SHREEKANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "109222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.