Organization Active NPI

Chandana Vundavalli DDS

  • Dental Clinic/Center
  • Pleasanton, CA
National Provider Identifier
1750080057
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHANDANA VUNDAVALLI DDS
Practice address
2324 Santa Rita Rd Ste 3
Pleasanton, CA 94566-4150
Phone
(949) 769-1971
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Chandana Santhoshi VundavalliNPI 1396225777
Title
Ceo
Phone
(949) 769-1971

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2324 Santa Rita Rd Ste 3
Pleasanton, CA 94566-4150

Mailing address

4218 Chapman Way
Pleasanton, CA 94588-3953
Phone (949) 769-1971

National Provider Directory

National Provider Directory

Locations

2324 Santa Rita Rd
Ste 3
Pleasanton, CA 94566
Phone (925) 462-4045

Practitioners & affiliated clinicians

Practitioners 1

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": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1750080057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 CHAPMAN WAY",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883953",
            "telephone_number": "949-769-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD STE 3",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664150",
            "telephone_number": "949-769-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDANA VUNDAVALLI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "VUNDAVALLI",
        "authorized_official_first_name": "CHANDANA",
        "authorized_official_middle_name": "SANTHOSHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-769-1971"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.