Swapna Raveendranath Dental Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

56777 Issued in CA

Legal business name

SWAPNA RAVEENDRANATH DENTAL CORPORATION

Practice address

39055 Hastings St
Suite 203
Fremont, CA 94538-1518

Phone

(510) 791-3144

Fax

(510) 791-3140

NPI assigned

Feb 6, 2016

Organization subpart

No

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

Authorized official

Name

Swapna Raveendranath, DDSNPI 1578732582

Title

Ceo

Phone

(510) 371-2502

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, and the practitioner matching its NPPES authorized official.

• Swapna Raveendranath, DDS

  • Dentist
  • Fremont, CA
  • NPI 1578732582
  NPD (past) Authorized official

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454716800000",
    "number": "1740648674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST",
            "address_2": "SUITE 203",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381518",
            "telephone_number": "510-791-3144",
            "fax_number": "510-791-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST",
            "address_2": "SUITE 203",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381518",
            "telephone_number": "510-791-3144",
            "fax_number": "510-791-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAPNA RAVEENDRANATH DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2016-02-06",
        "status": "A",
        "authorized_official_last_name": "RAVEENDRANATH",
        "authorized_official_first_name": "SWAPNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-371-2502",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "56777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ioana-Cristina Svec
• Val Svetich, D.C.
• Bindhu Swaminathan
• Swamis Holdings LLC (Niles Canyon Post Acute)
• Megan C Swan, M.D.
• Monica Sweet, P.A-C
• Elizabeth C Sweetnam, O.D.
• Ellyn Marie Swemba, PA-C
• Hamid Safdar Syed, M.D.
• Sandy Syharath

• Health Maintenance Organization in Fremont, CA
• Providers in Fremont, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; 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.