Organization Active NPI

Shetty&Bhatia Dental Group,Inc

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1720822745
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHETTY&BHATIA DENTAL GROUP,INC
Practice address
5710 Cahalan Ave Ste 3E
San Jose, CA 95123-3010
Phone
(408) 225-6815
Fax
(408) 578-8309
NPI assigned
Jun 24, 2024
Organization subpart
Yes
Parent organization
SHETTY&BHATIA DENTAL GROUP,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Dr. Deepak H Shetty, D.D.SNPI 1942314687
Title
Dentist
Phone
(408) 225-6815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5710 Cahalan Ave Ste 3E
San Jose, CA 95123-3010

Mailing address

5710 Cahalan Ave Ste 3E
San Jose, CA 95123-3010
Phone (408) 225-6815

Other names 1

  • Dental Dimensions Doing business as

National Provider Directory

National Provider Directory
Part of
Shettybhatia Dental Groupinc

Locations

5710 Cahalan Ave
Ste 3E
San Jose, CA 95123
Phone (408) 225-6815

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1720822745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE STE 3E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233010",
            "telephone_number": "408-225-6815",
            "fax_number": "408-578-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 CAHALAN AVE STE 3E",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951233010",
            "telephone_number": "408-225-6815",
            "fax_number": "408-578-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHETTY&BHATIA DENTAL GROUP,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHETTY&BHATIA DENTAL GROUP,INC",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-225-6815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Dimensions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.