NPIMap

Organization Active NPI

Padmaja K.Mutyala,DDS,Inc

Doing business as Gateway Family Dentistry

  • General Practice Dentistry
  • Bakersfield, CA
National Provider Identifier
1740670066
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
54081 Issued in CA
Legal business name
PADMAJA K.MUTYALA,DDS,INC
Doing business as
Gateway Family Dentistry
Practice address
13029 Stockdale Hwy
Suite 100
Bakersfield, CA 93314-9589
Phone
(661) 829-7905
Fax
(661) 829-7907
NPI assigned
Jan 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Dr. Padmaja K MutyalaNPI 1811965114
Title
Dentist/Owner
Phone
(661) 829-7905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 54081 CA Primary

Addresses

Primary practice location

13029 Stockdale Hwy
Suite 100
Bakersfield, CA 93314-9589

Mailing address

13029 Stockdale Hwy
Suite 100
Bakersfield, CA 93314-9589

Other names 1

  • Gateway Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

13029 Stockdale Hwy
Unit 100
Bakersfield, CA 93314
Phone (661) 829-7905

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1422057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1740670066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13029 STOCKDALE HWY",
            "address_2": "SUITE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13029 STOCKDALE HWY",
            "address_2": "SUITE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149589",
            "telephone_number": "661-829-7905",
            "fax_number": "661-829-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMAJA K.MUTYALA,DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-24",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "MUTYALA",
        "authorized_official_first_name": "PADMAJA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "661-829-7905",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.