Madhavi Durvasula DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MADHAVI DURVASULA DDS INC

Practice address

5460 Sunol Blvd Ste 5
Pleasanton, CA 94566-7752

Phone

(925) 880-8400

Fax

(925) 430-6220

NPI assigned

May 30, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Madhavi K Durvasula, DDSNPI 1346490034

Title

Dentist/Owner

Phone

(408) 930-2634

Specialties & licenses 1

Addresses

Other names 1

• Sohum Dental Of Pleasanton Doing business as

Practitioners 1

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

• Madhavi Durvasula, D.D.S.

  • General Practice Dentistry
  • Sunnyvale, CA
  • NPI 1346490034
  NPD Authorized official

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1720828338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 SUNOL BLVD STE 5",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667752",
            "telephone_number": "408-930-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 SUNOL BLVD STE 5",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667752",
            "telephone_number": "925-880-8400",
            "fax_number": "925-430-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHAVI DURVASULA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "DURVASULA",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "408-930-2634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sohum Dental Of Pleasanton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melason Raksha Macfarland
• Linda Sharon Mackinson, LCSW
• Alison Jill Macur, LCSW
• Danielle Macvicar
• Gary Raymond Maddox, D.C.
• Madson Health Group LLC
• Regine Magat
• Maggie T. Chao a Professional Corporation
• Bindiya Mahabir, BCBA
• Rajendra P Mahajan, MD

• Dentist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.