Active NPI
Sneha Gajanan Muchandi, DDS
- Dentist
- Antioch, CA
National Provider Identifier
1730869108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108989
- Practice address
- 3600 Delta Fair Blvd
Antioch, CA 94509-4006 - Phone
- (925) 428-5820
- NPI assigned
- Jul 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 108989 | CA | Primary |
Addresses
Primary practice location
3600 Delta Fair Blvd
Antioch, CA 94509-4006
Mailing address
7550 St Patrick Way Apt 557
Dublin, CA 94568-4887
Phone (916) 547-3583
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
| License | State | Type | Specialty |
|---|---|---|---|
| 108989 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacobson Dental Corp | Current | Accepting new patients |
Locations
3600 Delta Fair Blvd
Antioch, CA 94509
Phone (925) 428-5820
Organizations & group practices 1
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.
-
dba Children's Choice Dental Care
- Orthodontics and Dentofacial Orthopedics Dentistry
- Antioch, CA
- NPI 1134751167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1730869108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7550 ST PATRICK WAY APT 557",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684887",
"telephone_number": "916-547-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 DELTA FAIR BLVD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945094006",
"telephone_number": "925-428-5820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUCHANDI",
"first_name": "SNEHA",
"middle_name": "GAJANAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-20",
"last_updated": "2023-07-20",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.