One Mobile Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ONE MOBILE DENTAL

Practice address

7300 Sandlake Commons Blvd Ste 317
Orlando, FL 32819-8011

Phone

(925) 362-1800

Fax

(925) 855-1160

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sudha S Chinta, DDS, MSDNPI 1356412647

Title

Ceo/President

Phone

(510) 329-5731

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sudha Sesha Chinta, D.D.S.

  • General Practice Dentistry
  • San Ramon, CA
  • NPI 1356412647
  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1720768740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SYCAMORE VALLEY RD W",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945263957",
            "telephone_number": "925-362-1800",
            "fax_number": "925-855-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 SANDLAKE COMMONS BLVD STE 317",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198011",
            "telephone_number": "925-362-1800",
            "fax_number": "925-855-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MOBILE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "CHINTA",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "510-329-5731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.